ABSTRACT

National Institute for Health and Clinical Excellence defines long-acting reversible methods of contraception (LARC) as those methods that require administering less than once per cycle or month. LARC are also referred to as 'Long-lasting reliable contraception'. The failure rates of LARC are lower than the shorter-acting methods such as the contraceptive pill. There is no delay of fertility with LARCs. The register should include women who have been prescribed any method of contraception: combined oral contraceptive pill, contraceptive cap, durex, Intrauterine devices, intrauterine system, implant, contraceptive patch. Cultural differences and religious beliefs should be taken in to account when discussing LARC. A woman's choice of contraception is influenced by many factors that will reflect not only her medical condition but also social circumstances. Young people attending for contraception should be encouraged to have regular STI testing, particularly when there has been a new sexual partner. Perform STI screen if the individual presents with UPSI.