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22-08-2010 | Gynaecology | Article

Removing barriers boosts long-acting contraception use


Journal Abstract

MedWire News: Study results suggest that if cost and lack of knowledge are not issues, two-thirds of women would choose long-acting reversible contraception (LARC) as their preferred method.

Gina Secura and colleagues from Washington University in St Louis School of Medicine, Missouri, USA, report findings for the first 2,500 women enrolled in The Contraceptive CHOICE Project carried out in St Louis between 2007 and 2008.

CHOICE is designed to promote LARC methods by increasing patient awareness and offering free contraception in order to reduce the rate of unintended pregnancy in the region.

Despite their proven safety and effectiveness, less than 3 percent of women in the USA use a LARC, explain the researchers.

In total, 67.1 percent of women chose a LARC method of contraception, including intrauterine devices or implant, while 32.9 percent chose shorter-acting methods, such as oral contraceptive pills.

"Barriers to obtaining contraception, particularly LARC, include patient and physician lack of knowledge, financial constraints, and logistical barriers to receiving and effectively using a desired method," explain Secura et al.

"CHOICE is evidence of a greater-than-expected interest in the use of the most effective, reversible methods of contraception to prevent pregnancy," the team concludes.

MedWire ( is an independent clinical news service provided by Current Medicine Group, a trading division of Springer Healthcare Limited. © Springer Healthcare Ltd; 2010

By Sarah Guy