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Contraceptive Pearls


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Contraceptive Pearl: Internal Condom Accessibility

In June 2017, the internal condom’s manufacturer changed it from over-the-counter in pharmacies to prescription and online-only.  There are now four ways patients can get the internal condom: 1. Prescription from a clinician; 2. Prescription from an online clinician; 3. Bulk order through the manufacturer’s website; 4. Community organizations that provide the condom. Patients can purchase…

Contraceptive Pearl: Switching Contraceptive Methods

Patients often switch from one contraceptive method to another. For example, a patient who has trouble remembering to take a pill daily may change from an oral contraceptive to an implant. To minimize the risk of an unintended pregnancy, patients should avoid gaps between methods. That is, patients should go straight from one method to…

Contraceptive Pearl: Follow-up After IUD Insertion

 Many clinicians schedule a follow-up visit after an IUD insertion. Is this necessary?  The CDC does not suggest that patients return for a routine follow-up after IUD insertion. Instead, patients should be encouraged to contact their clinician at any time if they have questions or concern about their IUD.  The CDC recommends that at other…

Contraceptive Pearl: Using Ulpristal for Emergency Contraception

Clinical Question: Can a patient use ulipristal acetate (ella) for emergency contraception more than once a menstrual cycle? Jodi K, FNP New York, NY Jodi’s patient took ulipristal for emergency contraception one week ago and had a second condom rupture six days later. The patient’s body mass index is 31, and she did not want…

Contraceptive Pearl: When to Stop Using Contraception

Many people stop using contraception too early in their lives, due to the fact that they believe infertility happens earlier than it does. Learn more about when to stop using contraception in this Contraceptive Pearl.

Contraceptive Pearl: Vasectomy

Only a very small percentage of men in the US have had vasectomies. In this Contraceptive Pearl, learn more about them and their benefits for men who are finished with childbearing.

Contraceptive Pearl: Implicit Bias and Counseling

Implicit bias can lead clinicians to encourage certain contraceptive methods over others for particular groups of patients. This edition of the Contraceptive Pearls summarizes recent studies on implicit bias and discusses the importance of patient-centered contraceptive counseling.

Contraceptive Pearls

This monthly clinical e-newsletter highlights evidence-based best practices for contraceptive care

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