Contraceptive Pearls

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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.

Contraceptive Pearl: Hormonal Contraceptives and Blood Pressure

Hormonal contraceptives’ effect on blood pressure depends on the type of synthetic estrogen/progestin and hormone dosage. This Contraceptive Pearl covers the risks of hormonal contraception and how to best establish medical eligibility for initiating hormonal contraception.

Contraceptive Pearl: Self-Administered Progestin Injection: Depo SubQ

This Contraceptive Pearl covers Depo SubQ, the version of depot medroxyprogesterone acetate (DMPA) that can be prescribed as a subcutaneous injection that patients give themselves at home. It contains about 30% less progestin than the in-office form, which may reduce some of Depo’s side effects.

Contraceptive Pearl: Contraception and Anticonvulsants

Due to the risk of fetal anomalies with these medications, contraceptive counseling is particularly important for women taking anticonvulsants. This Contraceptive Pearl covers contraception and contraindications for patients on anticonvulsants.

Contraceptive Pearl: Do You Quick Start?

When a patient wants to start hormonal contraception, many clinicians use the Sunday start method – but Sunday start isn’t the only way. Quickstart means initiating contraception on the day of an office visit, at any point in the patient’s menstrual cycle. Learn about Quickstart in this Contraceptive Pearl.