For patients with a history of sexual trauma, pelvic exams may trigger PTSD symptoms. The techniques outlined in this Contraceptive Pearl of trauma-informed care can lead to an easier exam.
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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.
We all know that hormonal contraceptives prevent pregnancy. Hormonal birth control products may benefit your patients in many other ways, too. These non-contraceptive health benefits can help clinicians who have to deal with religious restrictions on clinical practice.
The LNG-IUD 13.5mg Progestin IUD, also known by its brand name, Skyla®, is the newest IUD approved by the FDA. This Contraceptive Pearl answers questions about the pros and cons of this contraceptive method.
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…
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.
Do some of your patients wrinkle their noses at the idea of an intrauterine device (IUD)? Don’t forget to suggest the progestin implant! Learn about the single rod progestin implant in this Contraceptive Pearl.
Don’t wait for your patient’s next menses — give Depo today! Using Quick Start with Depo prevents pregnancies that can occur while waiting.
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.
Nearly half of all pregnancies in the U.S are unintended, and teens are at highest risk for experiencing an unwanted pregnancy. Does comprehensive contraceptive counseling affect women’s decisions?