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Long-Acting Reversible Contraception.

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Increasing access to long-acting reversible contraceptives, like IUDs and implants, is crucial for reducing unwanted pregnancies. Gynecologists and obstetricians in Brazil are key to improving access and counseling for these effective methods.

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Area of Science:

  • Public Health
  • Gynecology
  • Obstetrics

Background:

  • Unwanted pregnancies pose a significant public health challenge globally.
  • Long-acting reversible contraceptives (LARCs) offer a key strategy for pregnancy reduction.
  • Healthcare providers, particularly gynecologists and obstetricians, are central to contraceptive choices.

Purpose of the Study:

  • To review LARC characteristics and current access in Brazil.
  • To identify barriers and propose recommendations for improving LARC accessibility.
  • To inform routine contraceptive counseling practices for healthcare professionals.

Main Methods:

  • Literature review of LARC methods.
  • Critical analysis of the current situation regarding LARC access in Brazil.
  • Development of practical recommendations based on FEBRASGO guidelines.

Main Results:

  • LARCs, including intrauterine devices (IUDs) and contraceptive implants, are highly effective.
  • There is a need to expand indications and improve insertion techniques for LARCs.
  • Facilitating access through public and private health systems is essential.

Conclusions:

  • Gynecologists and obstetricians must emphasize LARCs in counseling.
  • Adapting insertion techniques and improving healthcare system access are vital.
  • Enhanced LARC utilization can significantly impact public health by reducing unwanted pregnancies.