In adolescent girls using contraceptives, do long-acting reversible contraceptives (LARC) have a higher rate of continuation than other forms of contraception?

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Abstract

EVIDENCE-BASED ANSWER

Yes. In women younger than 25 years, the continuation rate of intrauterine devices (IUDs) is around twice as high as non-LARC contraception at 1 year (SOR: B, systematic review of RCT and cohort studies). The continuation of IUDs and subdermal implants in women 14 to 19 years old is also twice as high as non-LARC at 3 years (SOR: B, prospective cohort study). LARC methods are recommended as first-line for adolescent girls (SOR: C, consensus guideline).

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