Family Planning and Contraception

Aug 15, 2012 Issue
Ulipristal (Ella) for Emergency Contraception [STEPS]

Ulipristal is a prescription-only emergency contraceptive. It is at least as effective as levonorgestrel when administered within 72 hours of unprotected sexual intercourse, and is more effective than levonorgestrel in the 72- to 120-hour window.

Jun 15, 2012 Issue
Advantages of the No-Scalpel Vasectomy Technique [FPIN's Clinical Inquiries]

NSV should be used instead of the standard incisional method.

Feb 15, 2012 Issue
Guidelines for the Use of Long-Acting Reversible Contraceptives [Practice Guidelines]

The use of long-acting reversible contraceptives (LARCs) has increased from 1.3 to 5.5 percent over the past decade. There are three LARCs available in the United States: the etonogestrel single-rod implant and two types of intrauterine devices (IUDs; copper T380A and levonorgestrel intrauterine sys...

Dec 15, 2011 Issue
CDC Updates Recommendations for Contraceptive Use in the Postpartum Period [Practice Guidelines]

Initiating appropriate contraception in the postpartum period is important to avoid negative outcomes related to short birth intervals. The Centers for Disease Control and Prevention (CDC) recently reevaluated the safety of contraceptive use in the postpartum period.

Mar 1, 2011 Issue
Preventing Gaps When Switching Contraceptives [Article]

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.

Dec 15, 2010 Issue
Managing Adverse Effects of Hormonal Contraceptives [Article]

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...

Nov 15, 2010 Issue
ACOG Recommendations on Emergency Contraception [Practice Guidelines]

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.

Sep 15, 2010 Issue
Contraception Choices in Women with Underlying Medical Conditions [Article]

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.

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