Many contraceptive patient information materials report two types of efficacy: that with “perfect use” and that with “typical use.” Perfect use assumes that a contraceptive method is used exactly as directed. For example, this means taking a pill daily or using a barrier method correctly with every episode of vaginal intercourse over the span of…
We’re fortunate to have various options to offer patients desiring progestin intrauterine devices (IUDs) for contraception. Which IUD is best for each patient? Mirena, Liletta, Skyla, and Kyleena have a few differentiating characteristics, including dose, size, duration, and cost. Apart from the inserter device, Mirena and Liletta IUDs are nearly identical. Liletta’s federal 340b pricing…
Sam’s Medication Abortion is a zine that follows one person’s experience of a medication abortion. This evidence-based resource explains the medication abortion process, side effects, and when to reach out for help.
Cigarette smokers who use estrogen-containing contraceptives have a higher risk of cardiovascular disease. Are electronic cigarettes (e-cigarettes) a better choice? E-cigarettes deliver nicotine. Nicotine’s deleterious effects on the cardiovascular system are well established, but its toxicity is lower when not combined with smoke. There have been no published studies of electronic cigarette use among people…
The language we use in the exam room should convey our respect for patients. Before discussing sensitive topics with patients, clinicians should take care to establish rapport. Supportive, non-judgmental, and caring words can allow patients to feel heard and understood. Inclusive phrasing makes no assumptions about sexual orientation or gender identity. Attention to language is…
Patients often switch from one contraceptive method to another. For example, a patient who has trouble remembering to take a pill daily may change from an oral contraceptive to an implant. To minimize the risk of an unintended pregnancy, patients should avoid gaps between methods. That is, patients should go straight from one method to…
Many people stop using contraception too early in their lives, due to the fact that they believe infertility happens earlier than it does. Learn more about when to stop using contraception in this Contraceptive Pearl.