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Dec 11
Misoprostol and IUD Insertion Misoprostol, a synthetic prostaglandin, causes cervical dilation and has multiple uses in obstetrics and abortion. Can misoprostol help with IUD insertion, as well? Research has shown that misoprostol self-administered before IUD insertion in nulliparous women did not ease IUD insertion or reduce patient-perceived pain. In fact, several studies found that patients who…
Nov 13
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…
Oct 09
In June 2017, the internal condom’s manufacturer changed it from over-the-counter in pharmacies to prescription and online-only. There are now four ways patients can get the internal condom: 1. Prescription from a clinician; 2. Prescription from an online clinician; 3. Bulk order through the manufacturer’s website; 4. Community organizations that provide the condom. Patients can purchase…
Sep 11
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…
Aug 14
Many clinicians schedule a follow-up visit after an IUD insertion. Is this necessary? The CDC does not suggest that patients return for a routine follow-up after IUD insertion. Instead, patients should be encouraged to contact their clinician at any time if they have questions or concern about their IUD. The CDC recommends that at other…
Jul 10
Clinical Question: Can a patient use ulipristal acetate (ella) for emergency contraception more than once a menstrual cycle? Jodi K, FNP New York, NY Jodi’s patient took ulipristal for emergency contraception one week ago and had a second condom rupture six days later. The patient’s body mass index is 31, and she did not want…
Jun 14
This issue reviews which birth control options are best for folks of varied gender experiences, particularly for people taking gender-affirming hormones like testosterone or estrogen.
May 23
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.
Apr 17
For people who want to avoid hormonal contraceptives, consider using internal condoms. Read more about them in this Contraceptive Pearl.
Mar 28
This primer is a guide for organizing and advocacy within the American Academy of Family Physicians (AAFP).