Oct 18

Contraceptive Pearl: Hormonal IUDs

Written by Samantha Glass Hormonal intrauterine devices (IUDs) have been in use for over thirty years. Levonorgestrel-IUDs prevent pregnancy primarily by inducing a sterile inflammatory response in the uterus that is toxic to sperm and ova, with additional hormonal effects on the endometrium and cervical mucus. There are various hormonal IUD options that are effective…

Sep 20

Contraceptive Pearl: Over-the-Counter Access to Oral Contraceptives

Written by H. Reeve Bright Requiring a prescription for oral contraceptive pills (OCPs) creates access barriers for patients. Over-the-counter (OTC) OCPs are available in over 100 countries throughout the world, but not in the United States. As of July 2021, 21 states offered pharmacist-prescribed birth control pills, but no states offered over-the-counter OCPs.¹ Recently, HRA Pharma…

May 17

Contraceptive Pearl: Understanding Reproductive Coercion

Written by Chelsea Faso, M.D. Reproductive coercion is defined as behaviors or policies that interfere with decision-making about contraception and pregnancy. In the US, clinicians have often been complicit in implementing and enforcing reproductive oppression and coercive practices, sending and reinforcing the message: certain groups of people are more fit to parent than others. This…

Feb 15

Contraceptive Pearl: Vasectomy Reversal

Written by Deyang Nyandak, MD. Vasectomy is a safe and effective permanent birth control method. Six to eight percent of married couples in the world rely on this method¹. Compared to vasectomy, tubal ligation has 20 times the risk of major complications and three times the cost².  Some patients regret vasectomy and wish to conceive. People…

Jan 18

Contraceptive Pearl: Special Considerations for People with Substance Use Disorder (SUD)

Written by Sheila Attaie, D.O. Substance Use Disorder (SUD) is a treatable chronic illness.  People with SUD have higher rates of unintended pregnancy, sexually transmitted diseases, infertility, and mortality related to pregnancy; and lower rates of contraceptive use¹. People with SUD face profound stigma, barriers to care, and even criminalization when interfacing with the medical industrial complex.…