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)