Barriers to LARC implementation include deficits in healthcare provider (HCP) education and training. Insufficient education on the latest practice guidelines contributes to fewer correctly identified women who are eligible for LARC. Providers who lack training in the insertion and removal of these devices may not suggest LARCs as a first-line method and must refer patients to other HCPs for LARC provision. Referring candidates causes delays in care, access, and the establishment of trust towards providers. Surveys and interviews with women accentuate a lack of information regarding the accessibility of LARCs as well as concerns pertaining to the procedures required and possible side effects.

1. Do you have patients who reject LARCs because of the procedure?
2. How important is it to recommend a birth control that fits into a women’s lifestyle?
3. What alternative birth control options are recommended when a patient rejects a LARC, and why are these recommended?

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