Birth Control

Evidence-based resources on contraceptive methods, guidelines, and best practices

Latest Edition

Managing Acute Heavy Menstrual Bleeding in the Office Setting

Clinical scenario: Vasovagal reaction during an IUD insertion

A 24-year-old (she/they) presents to your health center requesting an IUD. They filled out her intake form online and noted they are "nervous about procedures." As you are sounding their uterus, they say they feel "kind of weird." You ask for more detail, and they report they are a little sweaty and like they need to go to the bathroom. The medical assistant notes that their face has “gone pale.”

Research roundup: March 2026 edition

COCs vs POPs for heavy menstrual bleeding, five-year Miudella copper IUD data, VTE risk with body-identical estrogen COCs, OTC Opill self-screening, mood symptoms and progestin-only discontinuation, Dobbs and residency application trends

Nexplanon REMS Requirements: What Providers Need to Know

What providers need to know about the updated Nexplanon label and new certification requirements

How to Prevent Vasovagal Syncope in Clinical Practice

How to prevent fainting in your patients, your friends, your family, and yourself in one simple step.

Research roundup: February 2026 edition

Probiotics as adjunct therapy for recurrent VVC, structured ACOG guidance on unexplained elevated hCG, paracervical block efficacy for IUD pain, menstrual blood HPV testing accuracy, telemedicine medication abortion outcomes

Person-Centered Contraceptive Counseling Is Not Optional—It’s Essential

Evidence increasingly shows that person-centered contraceptive counseling is essential to delivering high-quality, equitable contraceptive care.

Clinical scenario: GLP-1 meds and oral contraceptives

A 24-year-old patient (she/her) comes in after missing a period. She has a history of PCOS and irregular periods, but reports her periods have been fairly regular over the past several months. In the clinic, her urine pregnancy test is positive. She is surprised and upset, as she’s been using a combined oral contraceptive (COC) for the past 2 years. On further history, you learn she started a weekly GLP-1 injectable for weight loss about 6 months ago that she gets from a local med spa. She doesn’t remember the exact name but thinks it starts with a “s.” Since starting the injection, she’s had intermittent nausea and a few episodes of vomiting, especially in the days after injections and after she increases the dose. She asks “how did this happen?”
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