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Oct 20
RHAP has embarked on an update of our contraceptive materials. We aim to ensure our materials reflect the latest, best clinical evidence and align our with our core values, in particular patient-centered care. We started with our most general and widely used contraceptive fact sheet, which includes all birth control methods. The old versions organized methods by their…
Sep 15
In May, 2020, the FDA approved a new contraceptive gel containing lactic acid, citric acid, and potassium bitartrate. The brand name is Phexxi. The gel acidifies the vagina, creating an environment that’s hostile to sperm. The gel does not contain nonoxynol 9, the active ingredient in spermicides (which can irritate the vagina and raise the…
Aug 18
In 2018, the FDA approved a one-year contraceptive vaginal ring. It’s a flexible silicone ring that slowly releases segesterone acetate and ethinyl estradiol. The brand name is Annovera. The label instructs patients to insert the ring for three weeks and remove it for one week, repeating the cycle a total of thirteen times before starting…
Jul 21
Coercive contraceptive practices have a long history in the United States, beginning in the era of slavery and extending to forced sterilizations as recent as 2010. Forced contraception has targeted primarily low-income, incarcerated, disabled, Indigenous, Black, and Latinx people. Knowing this horrific history, how can we adjust our contraceptive counseling to avoid any semblance bias…
Jun 18
Worksheet developed in 2019 demonstrating how to build testimony around shared values.
Jun 18
Worksheet developed in 2019 to help facilitate testimony prep for national and state AAFP resolutions.
Jun 16
What’s a simple way to improve adherence to prescription contraceptives? Easy: prescribe a one-year supply. One-year prescriptions also decrease trips to the pharmacy and the health center, thereby promoting social distancing in the time of COVID-19. Dispensing a year’s worth of contraceptives is even better than prescribing a year’s worth. In the states that allow…
May 20
An intrauterine device (IUD) can be inserted immediately postpartum, minutes after delivery of the placenta. Post-placental IUD insertion is simple and safe, with a low rate of complications. This video demonstrates the procedure. Pregnant patients who choose an IUD can get one without experiencing the risk of an extra office visit during the COVID-19 epidemic. The risk…
May 19
Hendriks, E, Rosenberg, R, Prine L. Am. Fam Physician. 2020 May 15;101(10)599-606. Link: https://www.aafp.org/afp/2020/0515/p599.html Abstract Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include…
Apr 21
Depot medroxyprogesterone acetate (DMPA) can be prescribed as a subcutaneous injection that patients give themselves at home. The self-administered version helps patients avoid the need for office visits during the COVID-19 pandemic. This method, also known as Depo SubQ, contains the same hormone, works in the same way, and has the same medical eligibility criteria…