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Mar 16

Contraceptive Pearls: Progestin Contraceptives and Ulipristal to Treat Uterine Fibroids

Do progestin contraceptives help control the symptoms of fibroids? A recently updated Cochrane review addressed this question. The review examined four studies of 221 premenopausal patients with symptomatic fibroids. The results were inconclusive, with uncertainty about progestins’ effects on uterine bleeding and fibroid size. Ulipristal, on the other hand, showed more promise. A study of…

Mar 03

Initiating Hormonal Contraception

Most patients can safely begin using hormonal contraception at any point in their menstrual cycle. This article covers an evidence-based, flexible, patient-centered approach to initiating contraception promotes health and enhances patients’ reproductive autonomy. This article was published in American Family Physician in March 2021.  It is an update of an article originally published in 2006.…