The Adolescent and Young Adult Long-Acting Reversible Contraception (LARC) Program at Boston Children’s Hospital provides care to patients interested in obtaining an intrauterine device (IUD) or the contraceptive implant. LARC is a highly effective form of contraception and has also been shown to reduce overall menstrual bleeding. As specialists in adolescence and young adulthood, we provide a sensitive environment within which to discuss contraception and menstrual health needs. We have the expertise to provide LARC methods to all patients, including those with special healthcare needs. LARC procedures are typically conducted in the outpatient setting, although we can accommodate sedated procedures if necessary.
During a typical consultation visit, all contraceptive options will be reviewed to select the option best for the individual patient. For those interested in having an IUD, an internal pelvic exam may be conducted at that consultation visit to insure normal anatomy and toleration of the examination. A second visit may be required for actual insertion of the IUD or implant depending on the patient’s needs.
During IUD and implant insertion or removal visits, we ask that patients bring a family member or friend with them on the day of the procedure. While most patients tolerate these procedures quite well, some patients may want assistance getting home following the procedure. Following the insertion of the IUD there may be abdominal cramping that typically resolves within 48 hours and usually responds to ibuprofen or acetaminophen. Following the insertion of the implant, the patient’s arm may be sore for a few days with some bruising. Again, such discomfort can be addressed with ibuprofen or acetaminophen.
Our medical and nursing staff is readily available to address questions/concerns following LARC procedures.
More information about LARC can be found at the Center for Young Women’s Health website.