The most cost-effective contraceptive methods are LARCs, because these are not user-dependent, have high rates of satisfaction and continuation and have very low failure rates (less than 1% versus around 9% in oral contraceptive pill users. 2, 3 Women are always afraid about weight and some of them report weight changes after started a hormonal contraceptive. A recent Cochrane's review affirmed that it is a patient misperceived perception. The review analyzed effects of progestogen-only

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... ptive methods (implants, LNG-IUS, oral progesterone-only and depot medroxyprogesterone acetate-DMPA) on weight and found limited scientific evidence on changes in weight and body composition related to the use of these contraceptives. Weight gain was mainly associated with the use of DMPA, with a weight gain of less than 2kg during 12months. 4 1-ACOG Committee. ACOG Committee Opinion no. 450: Increasing use of contraceptive implants and intrauterine device to reduce unintended pregnancy.