Jan 1, 2005 Issue
Hormonal Contraceptives and Weight Gain [Cochrane for Clinicians]

There is no causal relationship between combination contraceptives and weight gain.

Oct 15, 2004 Issue
Pregnancy Prevention in Adolescents [Article]

Although the pregnancy rate in adolescents has declined steadily in the past 10 years, it remains a major public health problem with lasting repercussions for the teenage mothers, their infants and families, and society as a whole. Successful strategies to prevent adolescent pregnancy include commun...

Aug 15, 2004 Issue
Emergency Contraception [Article]

Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control or after unprotected intercourse. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label use of oral ...

May 15, 2004 Issue
Ethinyl Estradiol/Drospirenone (Yasmin): A Newer Oral Contraceptive [STEPS]

An effective oral contraceptive, ethinyl estradiol/drospirenone can elevate potassium levels when given in combination with other potassium-elevating agents and offers no advantage over traditional oral contraceptives.

Feb 15, 2004 Issue
New Contraceptive Options [Article]

Almost one half of pregnancies in the United States are unintended. Primary reasons for the high rate of unplanned pregnancy include dissatisfaction with or underuse of effective contraceptive methods and poor compliance with contraceptive methods that require daily adherence. Several effective form...

Jan 1, 2004 Issue
Diaphragm Fitting [Article]

When used with a spermicide, the diaphragm can be a more effective barrier contraceptive than the male condom. The diaphragm allows female-controlled contraception. It also provides moderate protection against sexually transmitted diseases and is less expensive than some contraceptive methods (e.g.,...

Mar 15, 2003 Issue
Counseling Issues in Tubal Sterilization [Article]

Female sterilization is the number one contraceptive choice among women in the United States. Counseling issues include ensuring that the woman understands the permanence of the procedure and knowing the factors that correlate with future regret. The clinician should be aware of the cumulative failu...

Mar 15, 2002 Issue
A Group Practice Disagrees About Offering Contraception [Curbside Consultation]

This case concerns the justification of moral constraints that a physician group decides to apply to itself in the provision of patient services. Family physicians confront this issue with regard to reproductive medical services and state laws such as those in Oregon regarding physician-assisted suicide.

Nov 15, 2000 Issue
Emergency Postcoital Contraception [Article]

Emergency postcoital contraception, a method used to prevent pregnancy after unprotected sexual intercourse, is a highly effective but underutilized birth control option. Two hormone regimens, ethinyl estradiol (100 microg) with levonorgestrel (0.5 mg) or high-dose levonorgestrel (0.75 mg), given wi...

Nov 1, 1999 Issue
Update on Oral Contraceptive Pills [Article]

Oral contraceptive pills are widely used and are generally safe and effective for many women. The World Health Organization has developed a risk classification system to help physicians advise patients about the safety of oral contraceptive pills. The choice of pill formulation is influenced by clin...

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