Long-Acting Reversible Contraception & Shared Decision-Making

In this video, Nisha McKenzie, PA-C, provides the take-home messages from her session "Update on Long-Acting Reversible Contraception (LARCs)" at our Practical Updates in Primary Care 2022 Virtual Series, including the importance of shared decision-making, who can be a good candidate for LARCs, and the benefits of LARCs.

Nisha McKenzie, PA-C, is the owner and founder of Women's Health Collective (Grand Rapids, Michigan). 

For more meeting coverage, visit the Practical Updates in Primary Care newsroom.

For more information about PUPC 2022 Virtual Series and to register for upcoming sessions, visit


Nisha McKenzie: Hi everybody. Nisha McKenzie here again. I am a physician assistant and owner and founder of Women's Health Collective in Grand Rapids, Michigan. I know you just watched this lecture and it's so fun watching virtual lectures. So I'm hoping that you kind of got everything that I was hoping that you'd get out of it. And if not, we're going to just do a quick recap here. So TLDR, too long, didn't read. We're going to talk about shared decision making and how important that is, and that shared decision making actually increases patient satisfaction with both their medical visit with you, as well as the method that they've chosen. And then also one of the other key take-home messages is that any person, any person of any age who's of childbearing age I should say who desires prevention of pregnancy can be a good candidate for a LARC, or a Long-Acting Reversible Contraceptive.

So they don't have to have had a previous pregnancy in order to be a good candidate for a LARC. And maybe the last take-home point that I think is really important is that LARC's overall have a much higher three-year continuation rate than short-acting contraceptives. So if we want to have something that our patients are going to be able to continue for longer, be more satisfied with their choice, and have a higher efficacy, I think it's really important that we learn all the ins and outs of these large contraceptive methods. So thank you. And I hope you enjoyed this and I hope you took some really good take-home points away from this lecture.