Payment Assistance Programs: DepoProvera (Progestin Injection) Pfizer Patient Assistance Program: Provides injected progestin, intramuscular for office administration and subcutaneous for home administration. IUDs (Intrauterine Devices) ARCH Foundation: Patient Assistance Program for Mirena, Kyleena, and Skyla IUDs Liletta Patient Savings Program ParaGard Patient Assistance Program Oral Contraceptive Pills 340B Drug Pricing Program: Offers birth control pills…
There are 3 mainstays of treatment for emergency contraception: copper IUD, ulipristal acetate, and levonorgesterel. Emergency contraception prevents pregnancy after unprotected sex; it does NOT end a pregnancy and will not work if the patient is already pregnant. *May be cheaper with 340B pricing or the Paragard Patient Assistance Program. The copper IUD is the…
Though IUDs are among the most effective forms of contraception, some patients and providers are often deterred from this option due to fear of painful insertion. Lidocaine spray, gel, and 1% lidocaine paracervical block have been utilized as methods of pain reduction with IUD insertion; research shows that some methods may be more effective than…
We’re fortunate to have various options to offer patients desiring progestin intrauterine devices (IUDs) for contraception. Which IUD is best for each patient? Mirena, Liletta, Skyla, and Kyleena have a few differentiating characteristics, including dose, size, duration, and cost. Apart from the inserter device, Mirena and Liletta IUDs are nearly identical. Liletta’s federal 340b pricing…
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…
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…
Why have a period? Hormonal contraception products allow for plenty of flexibility. This Contraceptive Pearls explains how to skip periods by using hormonal birth control. This Contraceptive Pearl was first published March 2010.
As of September 2014, HCPCS codes for removing and inserting IUDs and contraceptive implants have changed. Read the new codes in this Contraceptive Pearl.
