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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
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Complications of Long-Acting Reversible Contraceptive Modalities.

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Long-acting reversible contraception, including intrauterine devices and hormonal implants, is increasingly popular for adolescents due to its effectiveness and safety. This review covers their pharmacology, complications, and emergency management in young patients.

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Area of Science:

  • Reproductive Health
  • Adolescent Medicine
  • Emergency Medicine

Background:

  • Long-acting reversible contraception (LARC) is increasingly utilized in the United States, with a notable rise in adolescent users.
  • Intrauterine devices (IUDs) and subcutaneous hormonal implants (e.g., etonogestrel implants) are highly effective, safe, and convenient contraceptive methods.
  • Adolescents represent a growing demographic for LARC, necessitating specialized clinical considerations.

Approach:

  • This article provides a comprehensive review of LARC methods.
  • It details the pharmacology, common complications, and their clinical presentations.
  • The focus is on the initial evaluation and management within the pediatric emergency department.

Key Points:

  • LARC methods offer excellent effectiveness, ease of use, and a favorable safety profile.
  • Understanding unique challenges and presentations in the adolescent population is crucial for effective care.
  • Emergency department evaluation and management protocols for LARC complications are outlined.

Conclusions:

  • LARC methods are safe and effective options for adolescent contraception.
  • Pediatric emergency departments must be prepared to manage complications associated with LARC.
  • This review equips healthcare providers with essential knowledge for managing LARC in adolescents.