Concerns and Benefits of Long-Acting Birth Control for Young Women

Concerns and Benefits of Long-Acting Birth Control for Young Women

In recent years, the United States has witnessed a remarkable trend in declining teen birth rates, marking a significant milestone in adolescent reproductive health.

According to data released by the National Center for Health Statistics, the teen birth rate in the country experienced a 3% decrease in 2022. This decline, observed among both younger teenagers (ages 15–17) and their older counterparts (ages 18–19), underscores a positive shift in adolescent pregnancies.

The statistics reveal a consistent downward trajectory in birth rates, with annual decreases noted for three decades, barring exceptions in 2006 – 07.

This trend signifies a growing awareness and access to effective contraceptive methods that empower teenagers to make informed decisions about their reproductive health.

Amidst this encouraging context, the focus of our discussion lies in exploring the concerns and benefits associated with long-acting birth control methods. As teen birth rates decline, it becomes vital to delve into the advantages and potential apprehensions that young women may have regarding this form of contraceptives.

This article aims to provide comprehensive insights, aiding in informed decisions and promoting a proactive approach towards reproductive health among teenagers.


The following are the major concerns associated with long-acting birth control methods:

Side Effects of Long-Term Birth Control Methods

Long-acting birth control methods, such as hormonal IUDs and contraceptive implants, offer highly effective contraception but may come with potential side effects. One common concern is hormonal changes, as discussed in Contemporary OB/GYN.

These methods release hormones, and some individuals may experience side effects like mood swings, breast tenderness, or changes in libido. It’s important to emphasize that these effects are usually temporary, and many users adapt to the hormonal changes over time.

Additionally, irregular bleeding is a notable side effect, which can be a leading reason for discontinuation, especially among adolescents. Patients should be informed about the likelihood of unscheduled bleeding, which can occur during the initial months of use.

Another potential side effect is acne, as some adolescents may switch to long-acting methods from contraceptive regimens that reduce sebum production.

Expulsion and Displacement of the Device

Although highly effective, intrauterine devices (IUDs), especially the Paragard copper IUD, come with a rare risk of expulsion or displacement. Expulsion occurs when the IUD is entirely expelled from the uterus, rendering it ineffective. Conversely, displacement happens when the device shifts from its original position inside the uterus.

Signs of expulsion include sudden pain, heavy bleeding, or a noticeable decrease in menstrual flow. Displacement might not exhibit noticeable symptoms but can be detected during routine gynecological examinations.

TorHoerman Law notes that regarding the Paragard IUD, legal cases have emerged. They involve issues such as breakage during removal, complications, and alleged insufficient warnings about these risks. Teva Pharmaceuticals, the device’s designer and manufacturer, faces numerous lawsuits related to these concerns.

The Paragard lawsuit has been consolidated into a Paragard Multidistrict Litigation (MDL) in the US District Court for the Northern District of Georgia. Within this MDL, plaintiffs are claiming complications associated with the device’s removal, including breakage during the process leading to injuries.

The legal proceedings address these concerns and aim to secure suitable compensation for the affected individuals.

Access and Affordability of the Contraceptive

The Affordable Care Act (ACA) in the United States has played a crucial role in addressing access and affordability concerns of long-acting contraceptives. According to Verywell Health, under the ACA, insurance companies are mandated to cover all prescription birth control options for women.

This means that women can obtain prescription birth control without having to pay a copay at the pharmacy, even before reaching their deductible. These federal guidelines apply to various insurance types. It includes private insurance plans from employers, private plans purchased on the health insurance marketplace, and Medicaid, which includes public health plans from states.

However, despite these regulations, there are still challenges related to accessibility. The availability of clinics, especially in rural or underserved areas, can limit access. Additionally, awareness about the coverage options and financial assistance programs is crucial to ensuring that all women can access contraceptives.


The advantages linked to long-acting birth control methods are:

Long-Term Pregnancy Prevention

The convenience of methods like IUDs cannot be overstated. Once implemented, they require minimal maintenance, eliminating the need for daily routines. This makes them a hassle-free option, especially for young women leading busy lives.

The set-and-forget nature ensures consistent protection. It allows women to focus on their education, careers, and personal pursuits without the constant worry of adhering to a strict schedule.

The long-acting birth control methods grant women the freedom to navigate their lives without interruption, making it a preferred choice among young women.

Reversibility and Fertility Restoration

Long-acting contraceptives offer a crucial advantage in their reversibility. These methods are entirely reversible upon removal, allowing young women to regain their fertility whenever they decide to start a family.

This feature provides a sense of control over one’s reproductive journey, empowering individuals to make choices aligned with their life goals and circumstances. Knowing that their fertility can be restored offers peace of mind, allowing women to pursue personal goals without the pressure of a permanent decision.

Improved Menstrual Health

Certain long-acting contraceptive methods can significantly enhance menstrual health. For many women, these methods result in lighter periods, alleviating the discomfort associated with heavy bleeding.

Additionally, they often lead to reduced menstrual cramps, providing relief from the pain and discomfort that accompanies menstruation. In some cases, long-acting contraceptives can even result in the absence of menstruation, a condition known as amenorrhea.

While this absence of periods might cause initial concern, it can be a welcomed outcome for numerous women, offering respite from monthly inconveniences.


Long-acting birth control methods offer a remarkable boon to young women. Yet, the concerns surrounding accessibility, affordability, and the rare possibility of expulsion or displacement warrant thoughtful consideration and awareness. Moreover, the recent legal actions surrounding particular contraceptive devices underscore the significance of informed decision-making.

Understanding the nuances of long-acting contraceptives empowers young women to make choices aligned with their individual goals, lifestyles, and reproductive well-being. It is through this knowledge that women can navigate their reproductive health journey with confidence, ensuring their safety and well-being.