New developments in long-acting reversible contraception: the promise of intrauterine devices and implants to improve family planning services

Long-acting reversible contraception is maintenance-free and as effective as sterilization. Advances in delivery and product design of these approaches hold the greatest promise for reductions in unintended pregnancy.

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Volume 106, Issue 6, Pages 1273-1281


David K. Turok, M.D., Lori M. Gawron, M.D., Samantha Lawson, B.S.N.


After decades of having the developed world's highest rates of unintended pregnancy, the United States finally shows signs of improvement. This progress is likely due in large part to increased use of highly effective long-acting reversible methods of contraception. These methods can be placed and do not require any maintenance to provide years of contraception as effective as sterilization. Upon removal, fertility returns to baseline rates. This article addresses advances in both software—improved use and elimination of barriers to provide these methods; and hardware—novel delivery systems and devices.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.