Long-Acting Contraceptive Devices - Amy Stoddard, MD | UCLA Health

Explore long-acting contraceptive devices in this informative lecture by Dr. Amy Stoddard, a UCLA OB/GYN specialist. Gain insights into intrauterine devices (IUDs) and contraceptive implants currently available, with a focus on their safety for younger women. Learn about the different types of IUDs, including copper and hormonal options, as well as subdermal implants like Nexplanon. Understand the mechanisms of action, potential side effects, and common myths surrounding these contraceptive methods. Discover why teens are considered ideal candidates for long-acting reversible contraception (LARC) and how these devices can address the scope of unintended pregnancies. The lecture covers important topics such as bleeding patterns, fertility concerns, and the risk of ectopic pregnancy, providing a comprehensive overview for healthcare professionals and individuals interested in contraceptive options.

Intro
Background
LARC use in the US
Learning objectives
What is an IUD?
Copper IUD (Paragard)
How much more bleeding?
Hormonal IUDs
Hormonal IUD: Mechanism
Subdermal Implant: Nexplanon
Review of Implanon bleeding
The Dalkon Shield
Copper IUD and infertility
Do IUDs increase PID?
Risk of Ectopic Pregnancy
Myths about IUDs
IUD use in teens
The scope of the problem
Teens are the ideal candidates
Questions?