Summary

Although approximately half of all pregnancies in the United States are unintended, the use of highly effective contraceptives, such as intrauterine contraceptives and implants, is low. Many health care providers in the United States lack knowledge of current scientific information on long-acting reversible contraception (LARC) and do not routinely offer these methods when counseling patients at the highest risk for unintended pregnancy, including adolescents, nulliparous patients, and patients who have undergone abortions. This article discusses the National Trial of Contraceptive Acceptability [Harper CC et al. Obstet Gynecol 2014; NCT01360216].