Blog

Feb 12

Contraceptive Pearl: E-Cigarettes and Contraceptives

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…

Jan 15

Contraceptive Pearl: Opiate Use and Contraceptives

Opiate Use and Contraceptives Because there are no known interactions between opiates and contraceptive hormones, patients who take opiates are eligible for all birth control methods. Cornford, et al. collected data from 374 patients who were receiving treatment for opioid addictions. Overall contraceptive use was low (at 30%). These patients had high levels of ectopic…

Dec 11

Contraceptive Pearl: Misoprostol and IUD Insertion

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

Contraceptive Pearl: Language in the Exam Room

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

Contraceptive Pearl: Internal Condom Accessibility

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…