ITEMS IN AFP WITH KEYWORD:
Unintended pregnancy can occur when women stop one birth control method before starting another. To prevent gaps in contraception, physicians should ask women regularly about adverse effects, cost, difficulty remembering the next dose, and other issues that affect adherence. Women who want to change...
Jan 1, 2011 Issue
Copper Intrauterine Device vs. Depot Medroxyprogesterone Acetate for Contraception [Cochrane for Clinicians]
The copper IUD is more effective in preventing pregnancy compared with Depo-Provera.1 Each contraceptive method has different adverse effects; the evidence is too limited to make comparisons of discontinuation rates.
Adverse effects of hormonal contraceptives usually diminish with continued use of the same method. Often, physi- cians only need to reassure patients that these symptoms will likely resolve within three to five months. Long-acting injectable depot medroxyprogesterone acetate is the only hormonal con...
American College of Obstetricians Gynecologists (ACOG) recommendations on emergency contraception. Common indications include contraceptive failure (e.g., condom breakage, missed doses of oral contraceptives) and failure to use any form of contraception.
Primary care physicians often prescribe contraceptives to women of reproductive age with comorbidities. Novel delivery systems (e.g., contraceptive patch, contraceptive ring, single-rod implantable device) may change traditional risk and benefit profiles in women with comorbidities. Effective contra...
Aug 1, 2010 Issue
ACOG Guidelines on Noncontraceptive Uses of Hormonal Contraceptives [Practice Guidelines]
Many of women use hormonal contraception for its noncontraceptive benefits, such as making menstruation more predictable and correcting menstrual irregularities caused by oligo-ovulation or anovulation. The American College of Obstetricians and Gynecologists (ACOG) provides guidelines on these noncontraceptive uses.
Giving an injection of medroxyprogesterone (Depo-Provera) on any day of a patient's menstrual cycle decreases unintended pregnancies. For other hormonal methods, there is limited evidence. Compared with deferring until the patient's next menses, immediate start of hormonal methods appears to produce...
Aug 1, 2009 Issue
Contraceptive Patch and Vaginal Ring vs. Combined Oral Contraceptives [Cochrane for Clinicians]
Based on moderate quality evidence, contraceptive effectiveness of the vaginal ring or patch is similar to COC. Compliance is better with the patch, but its use is discontinued more often than COCs or the ring because of adverse effects. Vaginal ring and COC users have similar rates of pregnancy, co...
Lybrel appears to be as safe and effective as other combined oral contraceptives; however, at this time, there is little published data about this specific product. Other combined monophasic oral contraceptives, some of which cost less than Lybrel, can be used continuously and have been shown to produce similar results.
Sep 1, 2007 Issue
Advance Provision for Emergency Oral Contraception [Cochrane for Clinicians]
Providing oral emergency contraceptives in advance to fertile women for use after unprotected sexual intercourse (i.e., advance provision) does not affect pregnancy rates, condom use, sexually transmitted infection rates, or type of contraception used. Advance provision more than doubles the odds th...