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The GenerEhlist - CCFP Exam Prep, Low Risk Obstetrics & Canadian Primary Care Medicine

Mar 7, 2021

Written By: Kyla Freeman

Peer Review By: Thomsen D'hont

Expert Review By: Dr. Vanessa Rogers

Objective One:
With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise. 

Objective Two:
In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g. delayed initiation of method, illness, medications, specific lubricants)

Objective Three:
In aiding decision-making to ensure adequate contraception: 
- Look for and identify risks (relative and absolute contraindications) 
- Assess (look for) STI exposure 
- Identify barriers to specific methods (e.g. cost, cultural concerns) 
- Advise of efficacy and side effects, especially short-term side effects that may result in discontinuation 

Objective Four:
In patients using hormonal contraceptives, manage side effects appropriately (i.e. recommend an appropriate length of trial, discuss estrogens in medroxyprogesterone acetate [Depo-Provera]. 

Objective Five:
In all patients, especially those using barrier methods or when efficacy of hormonal methods is decreased, advise about post-coital contraception 

Objective Six:
In a patient who has had unprotected sex or failure of the chosen contraceptive method, inform about time limits in post-coital contraception (emergency contraceptive pil, intrauterine device)