Long-acting reversible contraceptives: For the woman seeking freedom of choice

WHEN it comes to family planning and pursuing personal goals, long-acting reversible contraceptives (LARCs) have emerged as a transformative tool, offering women greater control over their reproductive health and future aspirations.

LARC refers to the intrauterine contraceptive device (IUCD) or ‘Copper T’ that is inserted in the uterus, and the hormonal contraceptive that is placed in the upper arm. LARCs provide effective contraception with long-lasting effects, presenting numerous benefits for those seeking to space births and achieve specific life goals like furthering their education, a career or simply travelling.

Among the significant advantages of LARCs are longevity and low maintenance requirements. Once inserted or implanted, these contraceptives offer protection against unintended pregnancies for several years — the IUCD up to 12 years and the implant five years. This eliminates the need for daily adherence or frequent appointments. This reliability fosters peace of mind.

LARCs promote better birth spacing, a crucial factor in maternal and child health. By allowing couples to plan the timing of their pregnancies, LARCs contribute to healthier outcomes for mothers and babies. Spacing births appropriately reduces the risks associated with closely spaced pregnancies such as pre-term birth, while also providing parents with the opportunity to dedicate ample attention and resources to each child’s development. Additionally, LARCs empower women to have the choice to make informed decisions about their reproductive future. With the flexibility to remove or replace the contraceptive device at any time, women retain agency over their fertility and can adapt their family planning goals as circumstances evolve. This flexibility is particularly beneficial for those navigating changing career paths, relationship dynamics, or financial situations, allowing for adjustments without compromising long-term contraceptive efficacy.

Furthermore, the cost-effectiveness of LARCs make them accessible to a wide range of women, regardless of socio-economic status. While the upfront expense may seem prohibitive or high compared to other family planning methods, it can translate to significant savings over time. This affordability ensures that women can prioritise their reproductive health without facing financial challenges.

LARCs offer benefits for women and couples striving to plan for their futures and play a vital role in promoting reproductive autonomy and overall well-being. Women can access LARC through their nearest health centre or clinics islandwide.

Shantelle Salmon is the communication & public relations officer at the National Family Planning Board.