---
title: Avoiding Coercion in the Promotion of Long-Acting Reversible Contraceptives (LARCs)
date: 2022-10-19T03:00:00-04:00
author: OBOS Admin
canonical_url: "https://ourbodiesourselves.org/health-info/avoiding-coercive-promotion-of-long-acting-reversible-contraceptives-larcs"
section: Resources
---
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[Health & Sexuality Info](/health-info)# Avoiding Coercion in the Promotion of Long-Acting Reversible Contraceptives (LARCs)

The ability to decide if and when to have children is a sacred choice and a human right. Government restriction of that choice violates our rights. This piece from The Guttmacher Institute critiques the public policies regarding long-acting reversible contraceptives (LARCs) that target people of color, disabled people, and people with lower incomes. This type of reproductive coercion, unfortunately, is not new in the United States. Drawing extensively on principles of reproductive justice, the article offers frameworks for policymakers and clinicians to expand access to LARCs while ensuring that coercive or biased tactics are not used when offering contraceptive methods.

> As more policymakers work to promote LARC access, they must heed the calls of reproductive justice advocates to avoid creating programs that contribute to racist, ableist and coercive contraceptive policies and discourse—or that broadly target marginalized groups rather than prioritize individual needs.

[Read the full article ](https://www.guttmacher.org/gpr/2021/05/powerful-contraception-complicated-programs-preventing-coercive-promotion-long-acting)

SOURCE: Guttmacher Institute • AUTHOR: Olivia Cappello • LAST UPDATED: May 10, 2021

![reproductive-health-supplies-coalition-fsl8vtn2U1k-1024x769](data:image/png;base64,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) Reproductive Health Supplies Coalition/Unsplash

![](/assets/img/monogram.webp)Topics

- [ contraception](https://ourbodiesourselves.org/subject-area/contraception)
- [ history & politics of contraception](https://ourbodiesourselves.org/themes/history-politics-of-birth-control)
- [discrimination](https://ourbodiesourselves.org/tags/discrimination)
- [long acting reversible contraception (LARC)](https://ourbodiesourselves.org/tags/long-acting-reversible-contraception-larc)
- [public policy](https://ourbodiesourselves.org/tags/public-policy)
- [racism](https://ourbodiesourselves.org/tags/racism)
- [reproductive coercion](https://ourbodiesourselves.org/tags/reproductive-coercion)

![](/assets/img/monogram.webp)### *Why You Can* **Trust Us** 

- We rigorously evaluate all content
- We embrace a reproductive justice framework
- We don’t accept ads or sell products
- We reject funding from the pharmaceutical industry
- We counter misinformation and disinformation
- We address the social, political, and economic factors that affect health and sexuality

[read more](https://ourbodiesourselves.org/why-you-can-trust-us)

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This interactive map tracks abortion bans, restrictions, and protections, updated in real time.](https://ourbodiesourselves.org/health-info/abortion-laws-interactive-state-map)

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## About Birth Control

This interactive page from Planned Parenthood helps you find birth control methods in line with your priorities.

![What's the contraceptive method of your choice?](data:image/png;base64,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)

This interactive page from Planned Parenthood helps you find birth control methods in line with your priorities.](https://ourbodiesourselves.org/health-info/about-birth-control)

[ResourcesRead

## Addressing Heart Health in LGBTQ Adults

Why continued research is needed on heart health in LGBTQ adults

![joyce-huis-pqClnxdDIEQ-1024x683](data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAACAAAAAgCAIAAAD8GO2jAAAACXBIWXMAAA7EAAAOxAGVKw4bAAADo0lEQVRIiW2WwRbkKg5DJZFPn+Us3g+jOwtDKt1vclIpwgkSso1t/+e//0iSbMvnUmzH55E7iu9gpuM4SVYyg7nuCtuWo78v/vqXOPc7A/q+w2c1v7UI6RGS7xyaF/m8Yp0PsMwQ2b/ZM0ACgWzNH5rvnyHyCzHbwP7qQFKFpQhBTURFDu7Z+Ix/ouwhOBDvpnz1WbXyfUrYZDg4V5EgGCjEquRBe0yHTCNOPkot2QyuLQ0HVhBSjmAkovb4IBGd9chCz1XDa5NrHks66EMgywfdFtWxjoH8QqG2TWyM9YhLfr3l8a2OCFmKRYSVokhgLKTIUv8INTtHt2T7Q/CLP3niwvYYCjsNFqkaBQWts319b2OkES3Zj9i/eLm/10Kc0yeR2iZRgM4GhuPfBIxhhfz8/HPC6Q06jQYkx66d+ETqioJWNT7/0OCmcY55pauAgy0B15735Ll2bGIiosW4BaVaM4BAmgTXPbqvgg80IMTQ6BxcS5nkE60lVVrjZEO1Xh+HjlTJ2JYeun+WGVx6BmLMKcsxSdYc4CVOFPlAx6REdpJOpH8JPviFUlDh5/BJnBBWpUq1KpbhWGwM6EBjn21JD3vP8QLoRR8aTmbxq4Aleg34uVlaBOS65iZryU9fEwFt6dC0hZ7QsqYMQGH9iX62J6KEOM6UlrHR0/0j6FGw76C/BP0j+Pj/nOClxURRCJ8QsvR09+4fWtp2l33MBSc52VkpK7BOBLMuA1ovwil8xwc+Co57O9e+IvZxg2W7JHf3SMu/87mAtQY+fculLD37TwUHfe9S+iGIDeXE/JI/6GKxoEkCB32M9DfBbss+OsrHz7HDJOsl40mnXjLaS8xpBq6AfxMUaHfbj61eBbXXnOBBNDLa2EsCZSkkkOuEE0V/ELzIh2PKITohp0hoR8Zd3rLRRl4TbQD58xj42bua7HNBW94ofRXI02C4Yrm4OLhLxhspGgV6e6Jz0PaeBKePgv9HEFlUjU2zduVi46wN6sIIaJP49C02z958nEyric9WN1cwfZHnt8HIUFbRLh5Xd0lkOoNTpGz/TcAxkdqbAKchOMUfLIrKPGUYBL/Z9y1okvW0txEEBrdqVSatndqoyJUtBRVVL8GZuQR5CSyjZ/dWyjEhmkzd/hq12cEE5vRz89F4etA/xV9vk2Px/NH0dRb+Sni5Xd6p6MqZl+/TqMdCx0i3owb5ucXympvPxt90eRXozr/KbqF63WiA24La/A8qPdcivBoIXQAAAABJRU5ErkJggg==)

Why continued research is needed on heart health in LGBTQ adults](https://ourbodiesourselves.org/health-info/addressing-heart-health-in-lgbtq-adults)

[ResourcesRead

## Ageism Ignores and Insults the Competence of Adults

This article by Margaret Morganroth Gullette addresses the harm caused by ageism and “age shaming,” especially as it relates to assumptions about competence.

![pexels-kampus-production-8422703](data:image/png;base64,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)

This article by Margaret Morganroth Gullette addresses the harm caused by ageism and “age shaming,” especially as it relates to assumptions about competence.](https://ourbodiesourselves.org/health-info/ageism-ignores-and-insults-the-competence-of-adults)

[ResourcesRead

## The Social Determinants of Health in Breast Cancer Care

A survey of community-based, organizational, and clinical barriers to care demonstrates that life stressors impact treatment and health outcomes, something holistic practitioners have known for a very long time.

![African American mother covering face while sitting by unpaid bills, children playing behind her at home.](data:image/png;base64,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)

A survey of community-based, organizational, and clinical barriers to care demonstrates that life stressors impact treatment and health outcomes, something holistic practitioners have known for a very long time.](https://ourbodiesourselves.org/health-info/social-determinants-breast-cancer-care)