LARCs_Presentation (1).pptx long acting reversible contraceptives
- 2. Introduction • Long-acting reversible contraceptives (LARCs) are methods that provide effective contraception for an extended period without requiring user action. • Key role in family planning and reducing unintended pregnancies. • Benefits include high efficacy, long-term action, and reversibility.
- 3. Types of LARCs • 1. Hormonal Intrauterine Devices (IUDs) - e.g., Mirena, lilleta,skyla • 2. Non-Hormonal IUDs (Copper) - e.g., Paragard.,Multiload375 • 3. Contraceptive Implants - e.g., Nexplanon.
- 4. Hormonal IUDs MIRENA: • Contains progesterone: levonorgesterol(52mg) • Releases 20mcg/day(hence also known as LNG-20) • Releases LNG for 7 yrs but approved life span is 5 yrs • Doesn’t contain copper • Mechanism: Releases progestin to thicken cervical mucus and thin uterine lining • Benefits: Reduces menstrual bleeding and cramping. • Side effects: Spotting, hormonal changes. Continuous use : endometrial atrophy, amenorrhea
- 6. • Lilleta :Similar in composition to Mirena -Approved life span is 4 yrs -Low cost • Skyla :13.5 mg LEVONORGESTEROL -Approved life span : 3 yrs
- 7. Non-Hormonal IUDs (Copper) • Mechanism: Copper ions create an environment toxic to sperm. • Effective for up to 10–12 years. • Benefits: Hormone-free option. • Side effects: Heavier periods and cramping initially.
- 8. CU-T 380A • T-shaped device • Copper present on Vertical and horizontal arms . Area of copper wire : 380mm2 • Small ball of 3 sqmm prevents uterine perforation • Thread made of polyethylene monofilament Helps to Assess cu-t is in place. Releases Copper at 50mcg/ day • Life span : 10 yrs( can release cu upto 12 yrs)
- 9. Multiload375 • Copper present on Vertical stem • Arms are bent + spurs present on Arms • Nylon thread is present • Life span : 5 yrs
- 10. • Implanon:Single rod implant • Nexplanon: Etonogesterol (68mg)+Barium sulphate+Ethylene vinyl acetate release 60mcg per day • Life span -3 years • MOA:Anovulation and thickens cervical mucus • Insertion:OPD procedure,under local anesthesia on medial side of nondominant hand • Absolute Contraindications:undiagnosed vaginal bleeding,pregnacy,suspected breast cancer,liver tumours • Benefits: Convenient and highly effective. • Side effects: Irregular bleeding, secondary amenorrhea • Return of fertility: After removal fertility returns in a month . • Failure rate :0.01% CONTRACEPTIVE IMPLANTS
- 12. Advantages of LARCs • Highly effective (>99%). • Long duration of action (3–12 years). • Low maintenance. • Quickly reversible upon removal. Limitations of LARCs • Side effects: Spotting, cramping, or hormonal changes. • Higher upfront costs. • Requires professional insertion and removal. • Potential for expulsion (IUDs).
- 13. Who Can Use LARCs? • Suitable for most women, including adolescents and postpartum individuals. • Special considerations for women with certain medical conditions. • Requires a healthcare provider's consultation. Counseling and Decision Making • Provide accurate and unbiased information to patients. • Address myths and misconceptions about LARCs. • Involve patients in shared decision-making based on their needs and preferences.
- 14. Global Impact of LARCs • Significant reduction in unintended pregnancies worldwide. • Improves maternal and child health outcomes. • Case studies highlight the effectiveness in diverse populations.
- 15. Conclusion • LARCs are a reliable and effective contraceptive option. • Offer numerous benefits, including long-term efficacy and reversibility. • Promoting awareness and accessibility is key to improving reproductive health outcomes.