LARC Video Series

The following video series on long-acting reversible contraception (LARC) was created by the ACOG LARC Program in collaboration with Innovating Education in Reproductive Health, a project of the Bixby Center for Global Reproductive Health at the University of California, San Francisco.

These videos cover a variety of clinical topics related to the provision of LARC methods. More information about LARC can be found on the ACOG LARC Program webpage and on Innovating Education’s contraception topic webpage.

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LARC Insertion

Overview of LARC Methods
Contraceptive Counseling with Shared Decision Making Framework
IUD Informed Consent and Pre-insertion Counseling
IUD Clinical Preparation
Kyleena®
Liletta®
Mirena®
ParaGard®
Skyla®
Contraindications to Intrauterine Contraception
Difficult IUD Insertion
Immediate Postpartum Period
Insertion After Abortion or Miscarriage
Managing Pain with IUD Insertion
Implant Informed Consent and Pre-Insertion Counseling
Implant Insertion

LARC Removal

IUD Removal
Complicated IUD Removal
Easy Implant Removal
Difficult Implant Removal Part 1: Locating the Implant
Difficult Implant Removal Part 2: Techniques, Maneuvers, and Considerations for Referral

LARC Counseling Scenarios

Initiation of a Shared Decision Making Process
Shared Decision Making Using a Decision Aid
Responding to Patient Concerns
Patient Requesting Implant Removal

LARC Insertion

Overview of LARC Methods

This video provides an overview of the LARC methods currently available in the United States, including questions patients frequently have about these methods, mechanisms of action, efficacy rates, noncontraceptive benefits, and common myths and misconceptions about LARC.

Contraceptive Counseling with Shared Decision Making Framework

This video provides an overview of how to counsel for contraception using a shared decision making framework.

IUD Informed Consent and Pre-Insertion Counseling

This video provides information on patient counseling prior to IUD insertion, including discussion of method risks, benefits, alternatives, and expectations.

IUD Clinical Preparation

This video provides an overview of the clinical steps necessary prior to insertion of an intrauterine device, including information about screening for STIs, pain management, and the supplies required for placement.

Kyleena®

This video provides an animation for the insertion procedure for the 19.5mg LNG IUD Kyleena®.

Liletta®

This video provides an animation for the insertion procedure for the 52mg LNG IUD Liletta®.

Mirena®

This video provides an animation for the insertion procedure for the 52mg LNG IUD Mirena®.

Paragard®

This video provides an animation for the insertion procedure for the copper IUD Paragard®.

Skyla®

This video provides an animation for the insertion procedure for the 13.5mg LNG IUD Skyla®.

Contraindications to Intrauterine Contraception

This video provides an overview of contraindications to IUD use.

Difficult IUD Insertion

This video provides an overview of procedures for inserting IUDs when routine insertion fails.

Immediate Postpartum Period

This video provides an overview of LARC use in the immediate postpartum period, including how to counsel for contraception at this time, safety and efficacy, risks, and clinical considerations.

Insertion After Abortion or Miscarriage

This video provides an overview of LARC use immediately following abortion or miscarriage, including how to counsel for contraception at this time, safety and efficacy, risks, and clinical considerations.

Managing Pain with IUD Insertion

This video provides an overview of options and available evidence for approaches to reduce IUD insertion pain.

Implant Informed Consent and Pre-Insertion Counseling

This video provides information on patient counseling prior to contraceptive implant insertion, including discussion of method risks, benefits, alternatives, and expectations.

Implant Insertion

This video provides an animation for the insertion procedure for the 68mg ENG contraceptive implant Nexplanon®.

LARC Removal

IUD Removal

This video provides an overview of the removal process for IUDs, including information on insertion of a new IUD at the time of removal, switching to a new contraceptive method, and the supplies required for removal.

Complicated IUD Removal

This video provides an overview of procedures for removing IUDs without visible strings, or when fragments of an IUD remain in the uterus following removal.

Easy Implant Removal

This video provides an overview of the removal process for the contraceptive implant, including information on insertion of a new implant at the time of removal, and supplies required for removal.

Difficult Implant Removal Part 1: Locating the Implant

This video provides an overview of procedures for locating nonpalpable implants, including use of imaging and serum level testing.

Difficult Implant Removal Part 2: Techniques, Maneuvers, and Considerations for Referral

This video provides an overview of procedures for removing nonpalpable implants once they have been located using the imaging techniques described in the previous video.

LARC Counseling Scenarios

Initiation of a Shared Decision Making Process

This video provides a demonstration of how to initiate the shared decision making process when discussion contraceptive options with a patient.

Shared Decision Making Using a Decision Aid

This video provides a demonstration of how to use a decision aid during contraceptive counseling to facilitate shared decision making.

Responding to Patient Concerns

This video provides a demonstration of how to respond to patient concerns regarding contraceptive methods.

Patient Requesting Implant Removal

This video provides a demonstration of how to respond to a patient’s request for contraceptive implant removal.

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