Contraceptive Pearls

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Contraceptive Pearl: Introducing Liletta, a New Progestin IUD

Liletta, a new progestin intrauterine device (IUD), was approved by the FDA in February 2015. It is the same size and shape as the Mirena and contains the same dose of levonorgestrel. Learn more about Liletta by reading this edition of the Contraceptive Pearls.

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…

Contraceptive Pearl: Implant Removal: Pop Out Technique

Implant removal can be significantly more difficult than insertion. This Contraceptive Pearl details the “pop-out” or “fingers only” implant removal technique, which requires less anesthesia and a smaller incision and causes less swelling than removal with instruments.

Contraceptive Pearl: St. John’s Wort and Hormonal Contraception

Women who take St. John’s wort should consider using a barrier method along with oral contraceptive pills. Pill users who need medication for depression should consider something other than St. John’s wort. The possible interaction between St. John’s wort and oral contraceptives highlights the importance of asking patients about their use of health supplements.