Contraception - LARC

Question 1

What does LARC mean?

Answer 1

Long acting reversible contraception

Question 2

What is the most efficient MoA for contraception?

Answer 2

Prevention of ovulation

Question 3

What is the difference between the IUD and IUS?

Answer 3

IUD - intrauterine device - non-hormonal/copper coil

IUS - intrauterine system - hormonal coil

Question 4

How do hormonal and copper coils work?

Answer 4

Mainly by preventing ovulation but also by preventing implantation

Question 5

What kind of coil is associated with longer, heavier and more painful periods?

Answer 5

IUD (Cu-IUD) - NSAIDs recommended to manage

Question 6

What is the likelihood of amenorrhoea with hormonal coil?

Answer 6

~50% in 6 months

Question 7

What is the MOST effective LARC?

What kind of hormone is in this?
How does this work?

Answer 7

The rod - nexplanon

Progesterone only - prevents ovulation

Question 8

Where in the arm is Nexplanon placed?

Answer 8

Just over the triceps

Question 9

What is the only form of contraception someone can be on if they have current breast cancer?

Answer 9

Cu-IUD

Question 10

What are the two types of progesterone injection someone can get?

Which one can be injected at home?

Answer 10

Depo provera - injection at docs

Sayana press - injection at home

Question 11

Lots of risk factors for what condition is a contradiction for injection?

Answer 11

Osteoporosis

Question 12

If a woman is looking for a LARC to reduce/stop bleeding which types would you recommend?

Answer 12

• IUS
• Injection
• Nexplanon