New LARC Methods Can Be Used Among Adolescents

Many research papers have discussed the continuation rates of adolescents and young adults using different contraceptive methods. But there has been no recent systematic review to put all the data together to show real-world continuation of long-acting reversible contraceptive (LARC) methods among adolescents.

Justin T. Diedrich

Justin T. Diedrich, M.D., M.S.C.I., an assistant clinical professor of OB-GYN and family planning at the UCR School of Medicine, and two colleagues have published a review paper in the April 2017 issue of the American Journal of Obstetrics and Gynecology that concludes that LARC methods can be used among adolescents, and that they can be used successfully by adolescents. Further, the authors recommend that intrauterine devices and implants be offered to all adolescents as first-line contraceptive options.

“Although the American Congress of Obstetricians and Gynecologists and the American Academy of Pediatrics both recommend that adolescents can be offered LARC methods, that has yet to translate into increased use,” Diedrich said. “But there is both high satisfaction and high efficacy with adolescents using LARC methods. For this reason, many of us in the family planning community recommend that LARC methods be first-line agents for adolescents. We know that LARC methods such as implantable contraceptives and intrauterine devices work better than other methods. Adolescents can successfully use them. We should be encouraging adolescents to use methods that have high efficacy.”

Diedrich explained that when studying contraceptive methods, continuation correlates with satisfaction.

“If continuation is high at 12 months, it is evidence of method satisfaction at 12 months,” he said. “Among adolescents using LARC methods, we found continuation at 12 months was 84 percent. LARC methods work better and are continued longer than other methods. They should be first line methods for everyone, including adolescents and those at high risk of unintended pregnancy.”

Ossman’s Moving Matters Traveling Workshop Continues

“Cappucino,” a two-dimensional collage composed of scholar project proposals, painted and wired with coffee. The materials are paper,  coffee, ink and acrylic paint. Susan Ossman

Anthropology professor Susan Ossman’s Moving Matters Traveling Workshop (MMTW) continues with an exhibition, workshop, and performances in Berlin in June. At the same time, a month long art exhibition by Ossman and collaborator Claire Lambe, a New York-based artist, opens at the Wissenschaftskolleg in Berlin.

Ossman, who has been on sabbatical this year, continues her work with Moving Matters Traveling Workshop, a four-year-old series of art exhibitions, performances, and public interventions in which artists who are themselves serial migrants explore migration and mobility.

Artists participating in the Berlin exhibition, which runs June 1 through July 2, will work in and around the Chapel of Reconciliation, where the Church of Reconciliation once stood at the site of the Berlin Wall. The Berlin workshop will be held June 26-30, with performances June 30 and July 1.

“Walls symbolize division, but they also can provide refuge,” Ossman said. “This is likewise epitomized by Berlin. The city has offered walls to thousands of people fleeing wars in the Middle East. Hence, walls may also offer protection, privacy and a sense of home, and not only signal borders or divisions.”

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