Celebration meets caution: LARC's boons, potential busts, and the benefits of a reproductive justice approach

      Few developments have received as much attention or palpable enthusiasm in the reproductive field in recent decades as long-acting reversible contraception (LARC). Though the term may be changing, here LARC refers to intrauterine contraception (IUC), implants and other in-development methods that prevent pregnancy for extended time periods without user action. Reproductive health journals and conferences increasingly — and even overwhelmingly — feature articles, panels and clinical trainings on LARC, and for good reason. Rates of unintended pregnancy have actually increased among the most socially disadvantaged women in recent years [
      • Finer L.B.
      • Henshaw S.K.
      Disparities in rates of unintended pregnancy in the United States, 1994 and 2001.
      ], suggesting an inadequacy of current prevention approaches.
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