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They are instantly effective if initiated on day time one to five of a standard cycle. The vaginal ring, implant and DMPA injection possess the advantage of a low user input once initiated, and all three methods can be used to treat dysmenorrhoea. It is important to include a dialogue of LARCs make use of in routine contraceptive encourage and counselling uptake, particularly in ladies who are at risky of unplanned pregnancies.. An update about contraception. Part 2: rings, implants and injections Long-acting reversible hormonal contraceptives are less prone to issues with compliance compared to the more commonly used combined tablet and also have great potential to reduce unplanned pregnancies.