Position Statement on LARC access during the COVID-19 pandemic

SHINE SA, April 7, 2020

SHINE SA, along with Family Planning VictoriaFamily Planning NTFamily Planning TasmaniaSexual Health and Family Planning ACTSexual Health Quarters, and True Relationships & Reproductive Health have co-signed a Position Statement on LARC access during the COVID-19 pandemic.

Extended use of and ongoing access to LARCs during the COVID-19 pandemic

Provision of contraception is essential during the COVID-19 pandemic to prevent unintended pregnancies. This is particularly important for individuals most at risk, including young people due to their high levels of fertility, people with serious health conditions, and for those who are post-abortion. Long Acting Reversible Contraceptive methods (LARCs) are more effective than shorter acting methods and increased community access and uptake is associated with lower abortion rates.

Ongoing access to LARC insertion is essential during the pandemic

Contraception is essential health care and all efforts should be made to continue the insertion of LARCs during the pandemic. To reduce the risk of infection with COVID-19, this may require different approaches to insertion such as a wearing mask during insertion of contraceptive implant or using an inserter-only approach for IUD insertion (with an assistant outside the room for emergencies).

Summary of recommendations during the pandemic

  • All efforts should be made to continue access to insertion of LARCs during the pandemic, particularly for younger people, people with serious health conditions, and post-abortion
  • The etonogestrel implant (Implanon NXT) can be extended off-label for use up to 4 years
  • The 52mg LNG IUD (Mirena) can be extended off-label for use up to 6 years
  • The 19.5mg LNG IUD (Kyleena) cannot be extended beyond 5 years
  • Standard sized T shaped banded copper IUDs can be extended off-label for use up to 12 years
  • 5-year copper IUDs (Load 375 and Copper T short) can be extended off-label for use up to 6 years
  • Additional use of condoms and/or a contraceptive pill should be discussed with users for whom the risk of an unintended pregnancy is unacceptable during extended use.

 

Baby boomers re-entering dating game more vulnerable to STIs

PM, ABC radio, 18/01/2018

Family Planning New South Wales surveyed 2,339 heterosexual men who were using an online dating service in 2014.

The survey found men aged 50 or older were less likely to use condoms and more likely than younger men to think that condoms reduced sexual interest.

The survey also found 49 per cent of men over 60 did not know that Australia’s most prevalent sexually transmitted infection (STI), chlamydia, often does not cause any symptoms.

Body Talk user-friendly website from FPNSW

Family Planning NSW, 2016

Body Talk is a youth-friendly, stand-alone website that complements and links to the Family Planning NSW website. Body Talk provides information about the body, puberty, relationships, contraception and safe sex in an easy to use, responsive design format.

This website has the ability to be used autonomously or as a teaching and learning aide for educators, health workers, parents and carers.

Access website here