Long-Acting Reversible Contraception

• Autor(a) principal: Machado, Rogerio Bonassi
• Data de Publicação: 2017
• Outros Autores: Urbano Monteiro, Ilza Maria, Magalhaes, Jarbas, Falbo Guazzelli, Cristina Aparecida [UNIFESP], Brito, Milena Bastos, Finotti, Marta Franco, Lubianca, Jaqueline Neves, Sakamoto, Luis Carlos, Franceschini, Silvio Antonio
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000x1z9
• Texto Completo: http://dx.doi.org/10.1055/s-0037-1603647; https://repositorio.unifesp.br/handle/11600/53684
• topic: contraception; contraceptive agents; contraceptive devices; intrauterine devices; progestins

Unwanted pregnancy is a major public health problem both in developed and developing countries. Although the reduction in the rates of these pregnancies requires multifactorial approaches, increasing access to long-acting contraceptive methods can contribute significantly to change this scenario. In Brazil, gynecologists and obstetricians play a key role in contraceptive counseling, being decisive in the choice of long-acting reversible methods, characterized by intrauterine devices (IUDs) and the contraceptive implant. The vast scope due to the reduced number of situations to indicate long-acting methods should be emphasized in routine contraceptive counseling. On the other hand, gynecologists and obstetricians should adapt the techniques of insertion of long-actingmethods, and engage in facilitating conditions to access these contraceptives through public and private health systems in Brazil. This study is part of a project called Diretrizes e Recomendacoes FEBRASGO (Guidelines and Recommendations of the FEBRASGO - Brazilian Federation of Gynecology and Obstetrics Associations from the Portuguese acronym). It aims to review the main characteristics of long-acting contraceptives and critically consider the current situation and future prospects to improve access to these methods, proposing practical recommendations of interest in the routine of gynecologists and obstetricians.