Starting birth control after using ‘ella’ for EC
Here’s what you need to know to help your patients balance risks and uncertainties related to starting hormonal birth control after ella.
In March 2015, the FDA changed the label for one brand of emergency contraception (EC)—ulipristal acetate (UPA), sold as ella. The new label warned against starting a hormonal birth control method within 5 days of taking UPA. Why the change, and what does this mean for your practice?read the full article »STI-status sharing: Online resources for your patients
Have a patient who's uncomfortable notifying partners about a positive STI diagnosis? These online resources can help.
When it comes to STIs, of course you want to encourage patients to get tested regularly (and to practice safe sex). But what if testing results in a positive STI diagnosis? You may be able to support your patient not only in getting further testing or treatment as appropriate, but also in notifying current and past partners. Online resources make it easier than ever to let partners know about a positive STI diagnosis, often while providing further information about that STI and where to get tested. read the full article »Your patient has the answer
We can only listen when we create a space for the patient to speak. Listening can be augmented through open-ended questions. During a period of listening, consider opting for one open-ended question in lieu of a series of closed-ended questions. read the full article »Can premedication make IUD insertion less painful?
Contrary to popular belief, ibuprofen does NOT work.
From a clinician’s perspective, inserting an IUD is a relatively quick procedure. However, during that short time, some patients may experience serious pain... Is there something we can recommend that actually works to make insertion more comfortable?read the full article »Nobody’s perfect: Pill efficacy for the real world
Our patients shouldn’t have to be perfect to protect themselves from accidental pregnancy.
It’s no secret that many women’s health care providers use IUDs, likely because they have the highest efficacy and continuation rates. But the most common method of birth control among our patients remains the pill. The pill is advertised as having 99% efficacy, but in real life we know that about it’s closer to 90%. That means about one in 10 women will have an unplanned pregnancy while using this method. How can the advertised number and real life numbers so different? And what can we do to help our patients narrow the gap between these numbers?read the full article »What does evidence say about combined vs. progestin-only pills?
COCs or POPs? Here are some things to consider when helping a patient pick a pill.
By discussing the side effects and benefits of different kinds of pills with your patient, you can help her choose one that fits her life. read the full article »Birth Control Without Barriers
Providers play an important role in empowering women to choose the contraceptive best for them.
Providers play an important role in empowering women to choose the contraceptive best for them.read the full article »What do YOU use for birth control?
Pros, cons, and alternatives when it comes to telling your patients about your own birth control method.
Self-disclosure by providers is a controversial topic in all areas of medicine. In the field of reproductive health, in which it’s common to discuss the most intimate of topics with our patients, self-disclosure is an especially important consideration. Studies by Evans and by Zapata suggest that, when appropriate, provider self-disclosure about contraception can be done without negative consequences. But how can we be certain that a situation is appropriate? And in circumstances when a clinician isn’t using birth control (e.g., she is trying to conceive; she is infertile; or, like me, she has a female partner), how should she handle the situation?read the full article »Birth control and chronic condition care
Chronic health conditions require more medical visits. Are women getting the info they need?
Women who have chronic health conditions like these are more likely to visit a health care provider regularly than those who don't. But could it be that these women aren't getting the information they need about birth control?read the full article »