Apr 02
Protocol for Ectopic Pregnancy Treatment
Protocol for patients that have been diagnosed with an ectopic pregnancy and are clinically stable.
Blog
Mar 26
Contraceptive Pearl: Contraception During COVID-19: E-Visit Contraceptive Template
COVID-19 is putting a strain on the entire health system, requiring clinicians to step into difficult roles and take on risks they may not have been expecting. To all health care workers out there, we stand with you and are grateful for the tireless work you are putting in to help end this pandemic. We…
Feb 18
Contraceptive Pearl: Contraceptive Counseling Through the Lens of Reproductive Justice
Contraceptive counseling is an art. We adapt and improve as we learn from our patients and our colleagues. The SisterSong Women of Color Reproductive Justice Collective defines reproductive justice as the “human right to maintain personal bodily autonomy, have children, not have children, and parent the children we have in safe and sustainable communities.” The United States…
Jan 21
Contraceptive Pearls: IUD Self-Removal
IUDs are typically removed by clinicians during a pelvic exam in the office. There can be numerous barriers to this arrangement, such as difficulty scheduling an appointment, concern about appointment cost, and clinician refusal of patient’s request for removal. Unsurprisingly, these barriers can raise patients’ concerns about ability to retain control over their own reproductive…
Dec 17
Contraceptive Pearl: Premenstrual Syndrome (PMS)
Premenstrual syndrome (PMS) is a combination of physical and emotional symptoms that begin after ovulation and resolve within the first 4 days of menstruation. Over 90% of women experience PMS at some point during their reproductive years, and approximately 5% of women experience the more severe premenstrual dysphoric disorder (PMDD). PMS symptoms include irritability, fatigue,…
Oct 15
Contraceptive Pearl: Birth Control for Less: Low-Cost Oral Contraceptives
The Affordable Care Act mandates free birth control pills for most patients with health insurance. However, uninsured people and many people with a religious employer don’t benefit from this policy. For uninsured and underinsured people, access to affordable contraception is difficult. Fortunately, there are several ways for clinicians to help patients get birth control pills…
Oct 01
Low Cost Birth Control Options
Payment Assistance Programs: DepoProvera (Progestin Injection) Pfizer Patient Assistance Program: Provides injected progestin, intramuscular for office administration and subcutaneous for home administration. IUDs (Intrauterine Devices) ARCH Foundation: Patient Assistance Program for Mirena, Kyleena, and Skyla IUDs Liletta Patient Savings Program ParaGard Patient Assistance Program Oral Contraceptive Pills 340B Drug Pricing Program: Offers birth control pills…
Sep 17
Contraceptive Pearl: A Review of Emergency Contraception
There are 3 mainstays of treatment for emergency contraception: copper IUD, ulipristal acetate, and levonorgesterel. Emergency contraception prevents pregnancy after unprotected sex; it does NOT end a pregnancy and will not work if the patient is already pregnant. *May be cheaper with 340B pricing or the Paragard Patient Assistance Program. The copper IUD is the…
Aug 20
Contraceptive Pearl: Lidocaine for Pain Reduction with IUD Insertion
Though IUDs are among the most effective forms of contraception, some patients and providers are often deterred from this option due to fear of painful insertion. Lidocaine spray, gel, and 1% lidocaine paracervical block have been utilized as methods of pain reduction with IUD insertion; research shows that some methods may be more effective than…
Jul 22
Delineation of Abortion Privileges
Template for documenting health center privileges to provide abortion care.