I ordered a gonorrhea/chlamydia test for my asymptomatic 17-year-old patient the day I inserted her progestin IUD. The chlamydia test was positive. I treated her and her partner with azithromycin. I left the IUD in place. Does my patient need a test of cure? If so, when? Dr. Anjna Ganatra – New York, NY Contraceptive…
Publication details how to prevent gaps when switching contraceptives. Published by Ruth Lesnewski M.D. M.S., Linda Prine M.D., and Ruth Ginzburg PharmD.
Contraceptive counseling is more art than science. Success depends heavily on timing, interpersonal skills, and other intangible, hard-to-measure factors – and despite its obvious importance, contraceptive counseling is an area in which there’s very little evidence to guide us.
It turns out that oral contraceptives don’t interact with antibiotics (except rifampin/rifabutin). Even broad-spectrum antibiotics don’t lower estrogen blood levels significanlty, and the pregnancy rate for women taking antibiotics doesn’t exceed the baseline pregnancy rate for oral contraceptive users.
A 2011 policy resolution calling for FamMedPAC, the American Academy of Family Physicians’ federal political action committee, to support pro-choice candidates.