When comparing LARCs versus other forms of birth control, one has to realize that you have to be honest with yourself. Most often when it requires a patient to actually do something themselves, they may be less compliant. The nice thing about LARCs is that they don't require a patient factor - meaning that once the doctor inserts the device, then that will be more effective and has a higher effective rate because it does not have the variable of requiring a patient to actually do something (i.e. Take a pill, put a condom on, put a patch on, place of NuvaRing in.)