Abstract
Adolescents face unique challenges in navigating sexual relationships and contraception. The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics recommend long acting reversible contraceptives (LARC) as first line for pregnancy prevention in adolescents. LARCs include hormonal and non-hormonal intrauterine devices as well as the subdermal hormonal implant. When given high-quality, comprehensive counseling regarding contraceptive options, including LARCs, studies have shown that a majority of adolescents will choose LARC as their method of choice for contraception. LARCs include levonorgestrel subdermal implant, hormonal intrauterine device and copper intrauterine device. This chapter reviews the types, mechanism of action, risks and benefits and uses of long-acting reversible contraception in the adolescent population.
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