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LARC: Texas Guidelines and Recommendations

Welcome to this training on LARC: Texas Guidelines and Recommendations provided by the Texas Health and Human Services Commission (HHSC).

Read Time: 10 min

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  1. The Safety and Effectiveness of LARCs
    1. LARC as Part of a Reproductive Life Plan
    2. Barriers to LARC Use
  2. Counseling Patients and Making LARC Available
    1. The Best Timing for LARC Insertion
    2. Sexually Transmitted Infections
    3. Training for LARC Insertion and Removal

Helpful Resources for Providers

American College of Obstetricians and Gynecologists. (2024). Long-Acting Reversible Contraception (LARC).

Centers for Disease Control and Prevention. (2024). U.S Selected Practice Recommendations for Contraceptive Use, 2024.

National Clinical Training Center for Family Planning. (2024). LARC Overview.

National Coalition for Sexual Health. (2024). For Providers.

Power to Decide. (2024). One Key Question® Online.

Texas Health and Human Services Commission. Vendor Drug Program.

Texas Health and Human Services Commission. Texas Healthy Women Family Planning Program.

Texas Health and Human Services Commission. Texas Healthy Women.

Texas Health and Human Services Commission. (2018). The Texas Long-Acting Reversible Contraception Toolkit.

References Featured in the Course

American Academy of Pediatrics. (2024). Bright Futures.

American Academy of Pediatrics. (2020). Clinical Report: Long-Acting Reversible Contraception: Specific Issues for Adolescents.

American College of Obstetrics and Gynecology. (2017, reaffirmed 2024). Practice Bulletin Number 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. 

American College of Obstetricians and Gynecologists. (2018, reaffirmed 2021). Committee Opinion 735: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices.

America’s Health Rankings. (2023). Health of Women and Children: Teen Births in Texas.

American Sexual Health Association. (2024). Understanding LARC. 

Before, Between & Beyond Pregnancy. (2024). Reproductive Life Plan. The University of North Carolina at Chapel Hill.

Centers for Disease Control and Prevention. (2022). Teen Birth Rate by State.

Centers for Disease Control and Prevention. (2022). Texas: Key Health Indicators.

Centers for Disease Control and Prevention. (2024). Reproductive Health: Unintended Pregnancy.

Centers for Disease Control and Prevention. (2024). Sexually Transmitted Infections (STIs).

Contemporary Pediatrics. (2022). TikTok trends: Does IUD insertion hurt?

Texas Health and Human Services Commission. (2021). Texas Health Steps Periodicity Schedule. 

Texas Health and Human Services Commission. (2018). The Texas Long-Acting Reversible Contraception Toolkit.

Texas Health and Human Services Commission. (2017). Anticipatory Guidance Provider Guide.

U.S. Health and Human Services Department. (2022). Long-Acting Reversible Contraceptive (LARC) Measures.

 

Medical Definitions

Medical definitions in this module were obtained or adapted from Johns Hopkins Medicine, Texas Family Code and University of California Press.