More Information: For Committee Opinion #672—Clinical Challenges of Long-acting Reversible Contraceptive Methods

The American College of Obstetricians and Gynecologists has identified the following resources that may be helpful for ob-gyns, other health care providers, and patients on topics related to Committee Opinion #672 “Clinical Challenges of Long-Acting Reversible Contraceptive Methods.” These materials are for information purposes only and are not meant to be comprehensive. Referral to these resources does not imply ACOG’s endorsement of the organization, the organization’s website, or the content of the resource. The resources may change without notice.

Resources for Ob-Gyns and Women’s Health Care Providers

Clinical Guidance and Resources

ACOG’s Long-Acting Reversible Contraception Program
ACOG’s LARC Program works to reduce unintended pregnancy in the United States by providing information, guidance, and practice management support for obstetrician-gynecologists and other health care providers who offer or would like to offer IUDs and implants to their patients. Explore the full range of program resources including clinical education and training opportunities, accredited webinars, and information about coding and reimbursement.

“Immediate Postpartum Long-Acting Reversible Contraception” (Committee Opinion #670)
This Committee Opinion recommends that obstetrician–gynecologists and other obstetric care providers incorporate immediate postpartum LARC into their practices, counsel women appropriately about advantages and risks, and advocate for institutional and payment policy changes to support provision.

“Increasing Access to Contraceptive Implants and Intrauterine Devices to Reduce Unintended Pregnancy” (Committee Opinion #642)
This Committee Opinion recommends strategies to reduce barriers and increase access to implants and IUDs (ie, long-acting reversible contraception [LARC] methods).

“Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices” (Committee Opinion #539)
This Committee Opinion addresses obstacles to adolescent access to LARC as well as common misconceptions about LARC held by obstetrician-gynecologists and other health care providers.

“Long-Acting Reversible Contraception: Implants and Intrauterine Devices” (Practice Bulletin #186)
ACOG members may log in to view this Practice Bulletin, which provides evidence-based recommendations for appropriate candidate selection and the management of clinical issues and complications associated with LARC methods.

Patient Education Materials
Ob-gyns and other women’s health care providers may find the following materials useful for educating their patients about LARC methods.

Patient Education Pamphlet: “Long-Acting Reversible Contraception”

Resources for Women and Patients

“Long-Acting Reversible Contraception: Intrauterine Device and Implant
This Patient FAQ answers common patient questions about LARC, including how each method works, what risks are associated with IUDs and implants, and what to expect during IUD and implant insertion and removal.

“Birth Control—Especially for Teens” 
This Patient FAQ provides basic information about IUDs and implants and how they compare to other contraceptive methods.

External Resources

Practice Tools

Manufacturer Information-Nonpalpable Implant and Deep Insertions
If ultrasound and MRI fail, call 1-877-IMPLANON (1-877-467-5266) for information on the procedure for measuring etonogestrel blood levels. Manufacturer information is available online.

“Contraceptive Guidance for Health Care Providers,” CDC
The United States Centers for Disease Control and Prevention have developed guidance on which contraceptive methods are safe for women with selected characteristics and medical conditions. Several provider tools and summary charts are provided and can be used to identify appropriate candidates for LARC.

“LARC Reimbursement Guide,” ACOG, UCSF, NWLC, NFPRHA
This reimbursement guide, co-produced by ACOG, the University of California San Francisco LARC Program, the National Women’s Law Center, and the National Family Planning and Reproductive Health Association, includes information about insurance coverage, payment and reimbursement for LARC devices, placement, and removal, including immediate postpartum and post-abortion insertion.

“Method Explorer,” Bedsider
The Bedsider Birth Control Support Network provides a tool for side-by-side comparison of birth control methods using 14 different criteria.

Organizations and Programs

Contraceptive CHOICE Project
Visit the Contraceptive CHOICE Project for a comprehensive overview of study findings, links to all publications from this landmark study, and information about ongoing sub-studies.

UCSF Bixby Center LARC Project
The UCSF Bixby Center LARC Project is dedicated to improving access to LARC methods. Results of its large national study at 40 Planned Parenthood sites are presented.

American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998