Selection of long acting reversible contraception methods by emergency contraception clients: A prospective observational study.

Objective: To describe long acting reversible contraception (LARC) initiation in emergency contraception (EC) visits. Methods: EC clients age 18-35 years at four Utah family planning clinics between February 2021 and April 2023 chose between oral EC and three LARC options. Results: Of 2106 EC clients approached, 306 (14.5%) requested LARC and 293 initiated a device: 160 (55%) an etonogestrel implant+ oral levonorgestrel (LNG), 72 (25%) a copper intrauterine device (IUD), and 61 (21%) a 52 mg levonorgestrel IUD (p < 0.001). Conclusions: In this observational study, one in seven EC clients initiated a LARC method and more frequently selected the etonogestrel implant with oral levonorgestrel over an IUD.

Background: Clinicaltrials.gov NCT04678817; registered 12/16/20.