Long Acting Reversible Contraception Essay

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Introduction Long acting reversible contraceptives (LARC) consist of different methods of contraception that are administered less than once a month or several years. They also have the additional benefit on not relying upon user compliance such as remembering to take a pill every day for several years. This paper aims to explore the advantages, influences and barriers to the use of LARC in the UK. The desire to avoid pregnancy has been present for hundreds of generations around the world, and as such has spawned very many different and diverse methods of contraception to be developed over the ages. It was understood for many thousands of years that in order to avoid pregnancy the male sperm needed to be prevented from fertilizing the female egg. In these early days contraception was geared around the obstruction of the sperm from making contact with the ova. One of the earliest recorded examples of such a method is in 1850 BC when a pessary consisting of crocodile dung and honey would be inserted into the vagina. (Family Planning Association (FPA) 2006). Thankfully today we have a much greater understanding of the reproductive system of both the male and female and as such have developed more sophisticated and acceptable methods of contraception. There are many reasons why it may be considered beneficial to prevent conception which may include the desire to engage in enjoyable coitus for its own sake without consequences, or the wish to have no more children for either health or economic reasons and today most women today will need to use some form of contraception for approx 30 years of their life from menarche to menopause. Long-acting reversible contraceptives are methods which the user does not have to think about using every day, week or prior to sexual intercourse, their methods include the intrauterine device (IUD), intrauterine system (IUS),

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