Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Women’s Sexual Perceptions After Starting LARC

Obstet Gynecol; ePub 2016 Oct 6; Higgins, et al

Women who started long-acting reversible contraception (LARC) reported no measureable objective change in sexual function or satisfaction, although a sizable minority did report perceived positive, method-related sexual changes. This according to a prospective, cohort study of 159 women enrolled from December 2014 to April 2015 that assessed their sexual experiences with intrauterine devices (IUDs) and contraceptive implants. Researchers found:

  • 20% of women selected copper IUDs, 46% levonorgestrel IUDs, and 34% implants.
  • Sexual functioning and satisfaction scores did not change over time.
  • Participants were more likely to report improvements to their sexual lives compared with baseline, across methods.
  • By 3 months, 40% (n=40) reported positive changes (sense of control over pregnancy and to “let go” in sex) and 17% (n=27) negative changes (increased vaginal bleeding).

Citation:

Higgins JA, Sanders JN, Palta M, Turok DK. Women’s sexual function, satisfaction, and perceptions after starting long-acting reversible contraceptives. [Published online ahead of print October 6, 2016]. Obstet Gynecol. doi:10.1097/AOG.0000000000001655.