Are emergency contraception (EC) pills less effective for overweight patients? Unfortunately, the answer is yes – and the degree of this effect depends on the patient’s body mass index (BMI) and the type of EC. This Contraceptive Pearl discusses how BMI plays a roll in choosing the most effective emergency contraception for each patient.
Compared to female sterilization, vasectomy is simpler, less expensive, and less likely to cause complications. Vasectomy has efficacy over 99%. Given its many advantages, why is vasectomy so under-used?
For patients who don’t want to have more children, there are several permanent birth control options available: tubal ligation and hysteroscopic sterilization for women, and vasectomy for men. This Contraceptive Pearl covers the pros and cons of each option.
Women with migraine headaches have a higher risk of stroke – migraine with aura raises the risk more – and estrogen-containing contraceptives raise the risk of stroke even further. May women with migraine headaches take estrogen-containing birth control?
Seventy percent of teens report having had intercourse by their 19th birthday. However, 41% of teens aged 18-19 report that they know little or nothing about condoms, and 75% report that they know little or nothing about the contraceptive pill. This Contraceptive Pearl coves how best to talk to teens about contraception.
This Contraceptive Pearl explains how one’s history with Pelvic Inflammatory Disease affects IUD use.
How long do IUDs remain effective? After the FDA approved the progestin (Mirena) and copper (Paragard) IUDs, further studies supported two extra years of use for each device.
When a woman needs emergency contraception (EC), remember the Copper IUD! This Contraceptive Pearl covers use of the Copper IUD as emergency contraception.
Skyla contains 13.5mg of levonorgestrel and provides up to three years of protection against pregnancy. Learn all about this new intrauterine device in this Contraceptive Pearl.
Many clinicians follow a two-visit protocol for IUD and implant insertion: the first visit for counseling and testing, the second visit for insertion. Is this delay necessary? Or can we safely quick start progestin IUDs and implants?