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Family Planning and Contraception - American Family Physician

Jul 15, 2019 - This collection features AFP content on family planning and contraception, including emergency contraception, hormonal and non-hormonal contraception, infertility, in vitro fertilization, intrauterine devices, preconception care, tubal sterilization, and vasectomy. This collection ...

American Family Physician : AFP By Topic

https://www.aafp.org/afp/topicModules/viewTopicModule.htm?topicModuleId=71

Evaluation and Treatment of Infertility - American Family Physician

Mar 1, 2015 - Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years. Causes of infertility include male ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0301/p308.html

Long-Acting Reversible Contraception: Difficult Insertions and Removals - American ...

Sep 1, 2018 - The use of long-acting reversible contraception is on the rise across the United States and has contributed to a decrease in teen pregnancies. With the increased use of long-acting reversible contraception, physicians may encounter difficult insertions and removals of intrauterine ...

American Family Physician : Article

https://www.aafp.org/afp/2018/0901/p304.html

Preventing Gaps When Switching Contraceptives - American Family Physician

Mar 1, 2011 - Unintended pregnancy can occur when women stop one birth control method before starting another. To prevent gaps in contraception, physicians should ask women regularly about adverse effects, cost, difficulty remembering the next dose, and other issues that affect adherence. Women who ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0301/p567.html

Provision of Contraception: Key Recommendations from the CDC - American Family Physician

May 1, 2015 - The Centers for Disease Control and Prevention has released comprehensive recommendations for provision of family planning services. Contraceptive services may be addressed in five steps, and counseling may be provided in a tiered approach, whereby the most effective options are ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0501/p625.html

Managing Adverse Effects of Hormonal Contraceptives - American Family Physician

Dec 15, 2010 - Adverse effects of hormonal contraceptives usually diminish with continued use of the same method. Often, physi- cians only need to reassure patients that these symptoms will likely resolve within three to five months. Long-acting injectable depot medroxyprogesterone acetate is the only...

American Family Physician : Article

https://www.aafp.org/afp/2010/1215/p1499.html

Intrauterine Devices: An Update - American Family Physician

Mar 15, 2014 - Three intrauterine devices (IUDs) are available in the United States: the copper T 380A and two levonorgestrel-releasing IUDs, one that releases 20 mcg of levonorgestrel per 24 hours, and one that releases 14 mcg per 24 hours. All are safe and effective methods of contraception that ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0315/p445.html

Natural Family Planning - American Family Physician

Nov 15, 2012 - Natural family planning methods provide a unique option for committed couples. Advantages include the lack of medical adverse effects and the opportunity for participants to learn about reproduction. Modern methods of natural family planning involve observation of biologic markers to ...

American Family Physician : Article

https://www.aafp.org/afp/2012/1115/p924.html

An Update on Emergency Contraception - American Family Physician

Apr 1, 2014 - Emergency contraception decreases the risk of unintended pregnancy after unprotected sexual intercourse or after suspected failure of routine contraception (e.g., a condom breaking). Oral methods include combined contraceptive pills (i.e., Yuzpe method), single- or split-dose ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0401/p545.html

Contraception Choices in Women with Underlying Medical Conditions - American Family ...

Sep 15, 2010 - Primary care physicians often prescribe contraceptives to women of reproductive age with comorbidities. Novel delivery systems (e.g., contraceptive patch, contraceptive ring, single-rod implantable device) may change traditional risk and benefit profiles in women with comorbidities. ...

American Family Physician : Article

https://www.aafp.org/afp/2010/0915/p621.html

Misoprostol Alone is Associated with High Rate of Successful First-Trimester Abortion -...

Jul 15, 2019 - Misoprostol alone was associated with a nearly 80% success rate in the first trimester of pregnancy on meta-analysis.

American Family Physician : POEMs

https://www.aafp.org/afp/2019/0715/p119.html

Interpregnancy Care: Guidelines from ACOG and SMFM - Practice Guidelines - American ...

Jul 15, 2019 - The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine have published guidelines focusing on interpregnancy care to improve outcomes of future pregnancies and the overall health of women, regardless of their future pregnancy plans.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/0715/p121.html

Abnormal Uterine Bleeding Associated with Hormonal Contraception - American Family ...

May 15, 2002 - Millions of women in the United States use some type of hormonal contraception: combination oral contraceptive pills (OCPs), progestin-only pills, medroxyprogesterone acetate injections, or subdermal levonorgestrel implants. Abnormal uterine bleeding is a common but rarely dangerous ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2073.html

CDC Updates Recommendations for Contraceptive Use - Practice Guidelines - American ...

Jan 15, 2017 - The Centers for Disease Control and Prevention (CDC) first published the U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) in 2013 to provide direction for safe and effective use of contraceptive methods. These guidelines update the 2013 report.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0115/p125.html

Initiating Hormonal Contraception - American Family Physician

Jul 1, 2006 - Most women can safely begin taking hormonal birth control products immediately after an office visit, at any point in the menstrual cycle. Because hormonal contraceptives do not accelerate cervical neoplasia or interfere with cervical cytology, women who have not had a recent ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0701/p105.html

Preventing Unintended Adolescent Pregnancy - Cochrane for Clinicians - American Family ...

Apr 1, 2017 - Among adolescents, educational interventions increase reported condom use at most recent intercourse, whereas contraceptive-promoting interventions increase use of hormonal contraception.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2017/0401/p422.html

CDC Updates Eligibility Criteria for Contraceptive Use - Practice Guidelines - American...

Dec 1, 2016 - The Centers for Disease Control and Prevention (CDC) first published the U.S. Medical Eligibility Criteria for Contraceptive Use, which is a companion document to the U.S. Selected Practice Recommendations for Contraceptive Use, in 2010 to provide guidelines on safely using a variety of...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/1201/p942.html

The Risk of MI and Ischemic Stroke with Combined Oral Contraceptives - Cochrane for ...

Nov 1, 2016 - The overall risk of MI and ischemic stroke is increased in women who use combined oral contraceptives. The relative risk of MI and ischemic stroke increases as estrogen dose rises, increasing by 60% with doses of 20 mcg and more than doubling when doses of 50 mcg or more are used.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/1101/p691.html

Third-Generation Oral Contraceptives Associated with Greater Risk of PE, Stroke, and MI...

Oct 15, 2016 - Although there is risk with any current oral contraceptive combination, those that contain lower doses of estrogen, and levonorgestrel instead of desogestrel or gestodene, are associated with the least risk of ischemic stroke, myocardial infarction (MI), or pulmonary embolism (PE). ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1015/p663.html

The Potential Impact of Over-the-Counter Access to Oral Contraceptives to Reduce ...

Dec 1, 2015 - OTC access to oral contraceptives must be one component of a multipronged strategy aimed at improving access to all contraceptive methods to help women better plan their pregnancies using the method best for them. The efforts by professional societies to articulate the safety and ...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/1201/p968.html

Risk of Venous Thromboembolism with Use of Combined Oral Contraceptives - Cochrane for ...

Mar 1, 2015 - All combined oral contraceptives increase VTE risk. The risk is greater for those containing desogestrel, drospirenone, gestodene (not available in the United States), and cyproterone acetate (not available in the United States) when compared with levonorgestrel. All combined oral ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0301/p287.html

Diaphragm Fitting - American Family Physician

Jan 1, 2004 - When used with a spermicide, the diaphragm can be a more effective barrier contraceptive than the male condom. The diaphragm allows female-controlled contraception. It also provides moderate protection against sexually transmitted diseases and is less expensive than some contraceptive ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0101/p97.html

Emergency Contraception - American Family Physician

Aug 15, 2004 - Women can use emergency contraception to prevent pregnancy after known or suspected failure of birth control or after unprotected intercourse. Many patients do not ask for emergency contraception because they do not know of its availability. Emergency contraception has been an off-label...

American Family Physician : Article

https://www.aafp.org/afp/2004/0815/p707.html

Is Natural Family Planning a Highly Effective Method of Birth Control? Yes: Natural ...

Nov 15, 2012 - Yes: Natural Family Planning Is Highly Effective and Fulfilling. Natural family planning (NFP) is an effective and fulfilling method of avoiding pregnancy that has developed significantly over the past 80 years.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1115/od1.html

Cardiovascular Risk of Combined Oral Contraceptive Use - FPIN's Clinical Inquiries - ...

Dec 15, 2012 - Because of an increased risk of cardiovascular disease, the use of combined oral contraceptives (OCs) should be considered carefully in women who smoke and in those with hypertension or hyperlipidemia.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/1215/od4.html

Is Natural Family Planning a Highly Effective Method of Birth Control? No: Natural ...

Nov 15, 2012 - No: Natural Family Planning Methods Are Overrated. Natural family planning (NFP) methods are not highly effective contraceptive options. The most important consequence of contraceptive failure is unintended pregnancy, which is costly to the individual and to society.

American Family Physician : Editorials: Controversies in Family Medicine

https://www.aafp.org/afp/2012/1115/od2.html

The Effects of Combination Contraceptives on Weight - Cochrane for Clinicians - ...

Dec 1, 2012 - Compared with placebo or no intervention, the use of combination contraceptives was not associated with weight gain. Most studies comparing different types of combination contraceptives showed no statistically significant effects on weight.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/1201/p1009.html

CDC Updates Recommendations for Contraceptive Use in the Postpartum Period - Practice ...

Dec 15, 2011 - Initiating appropriate contraception in the postpartum period is important to avoid negative outcomes related to short birth intervals. The Centers for Disease Control and Prevention (CDC) recently reevaluated the safety of contraceptive use in the postpartum period.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/1215/p1422.html

Oral Contraceptive Use During the Menopausal Years - American Family Physician

Oct 15, 1998 - Few guidelines exist for the use of estrogen, particularly low-dose oral contraceptives, during the perimenopausal years. Use of low-dose oral contraceptive pills in women over 35 years of age provides protection against unwanted pregnancy, maintains a stable hormonal environment and ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1373.html

ACOG Guidelines on Noncontraceptive Uses of Hormonal Contraceptives - Practice ...

Aug 1, 2010 - Many of women use hormonal contraception for its noncontraceptive benefits, such as making menstruation more predictable and correcting menstrual irregularities caused by oligo-ovulation or anovulation. The American College of Obstetricians and Gynecologists (ACOG) provides guidelines ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0801/p288.html

Copper Intrauterine Device vs. Depot Medroxyprogesterone Acetate for Contraception - ...

Jan 1, 2011 - The copper IUD is more effective in preventing pregnancy compared with Depo-Provera.1 Each contraceptive method has different adverse effects; the evidence is too limited to make comparisons of discontinuation rates.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0101/p35.html

ACOG Recommendations on Emergency Contraception - Practice Guidelines - American Family...

Nov 15, 2010 - American College of Obstetricians Gynecologists (ACOG) recommendations on emergency contraception. Common indications include contraceptive failure (e.g., condom breakage, missed doses of oral contraceptives) and failure to use any form of contraception.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/1115/p1278.html

ACOG Releases Guidelines on Hormonal Contraceptives in Women with Coexisting Medical ...

Apr 15, 2007 - Guidelines on the use of hormonal contraceptives in women with underlying medical conditions are available from the American College of Obstetricians and Gynecologists (ACOG). In some women, drugs taken for certain chronic conditions may alter the effectiveness of hormonal contraceptives.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0415/p1252.html

Same-Day Initiation of Hormonal Contraceptives - Cochrane for Clinicians - American ...

Oct 1, 2009 - Giving an injection of medroxyprogesterone (Depo-Provera) on any day of a patient's menstrual cycle decreases unintended pregnancies. For other hormonal methods, there is limited evidence. Compared with deferring until the patient's next menses, immediate start of hormonal methods ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2009/1001/p690.html

Effect of Antiepileptic Drugs on Oral Contraceptives - FPIN's Clinical Inquiries - ...

Sep 1, 2008 - We found no studies that measure, or even estimate, any increase in pregnancy rates in women taking antiepileptic drugs. Antiepileptic drugs known to induce the hepatic cytochrome P450 (CYP450) isoenzyme cause decreased sex hormone levels in women taking oral contraceptives, raising the...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2008/0901/p634.html

Noncontraceptive Uses of the Levonorgestrel Intrauterine System - Practice Guidelines -...

Nov 15, 2006 - Although the levonorgestrel-releasing intrauterine system (Mirena) is approved for contraception, it also may have noncontraceptive uses, such as treating idiopathic menorrhagia. The American College of Obstetricians and Gynecologists (ACOG) published a committee opinion to address the ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1115/p1792.html

Cyclic vs. Continuous or Extended- Cycle Combined Contraceptives - Cochrane for ...

Mar 1, 2006 - Evidence shows no difference in safety or effectiveness between cyclic and continuous or extended-cycle combined contraceptives. There are fewer menstrual symptoms with extended-cycle contraceptives. Patients’ satisfaction and adherence is similar for all types.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0301/p804.html

Emergency Contraception: AAP Review - Practice Guidelines - American Family Physician

Jan 1, 2006 - The American Academy of Pediatrics (AAP) recommends that education and counseling about emergency contraception be incorporated into the annual preventive visits of adolescent patients when issues of sexuality are addressed.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0101/p168.html

Physical Examination Before Initiating Hormonal Contraception: What Is Necessary? - ...

Jul 1, 2006 - Advertisement << Previous article Next article >> Jul 1, 2006 Issue Editorials Physical Examination Before Initiating Hormonal Contraception: What Is Necessary? KAREN R. MECKSTROTH, M.D., M.P.H., University of California, San Francisco, San Francisco, California Am Fam Physician....

American Family Physician : Editorials

https://www.aafp.org/afp/2006/0701/p32.html

Hormonal Contraceptives and Weight Gain - Cochrane for Clinicians - American Family ...

Jan 1, 2005 - There is no causal relationship between combination contraceptives and weight gain.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0101/p68.html

Emergency Contraception: An Ongoing Debate - Editorials - American Family Physician

Aug 15, 2004 - Advertisement << Previous article Next article >> Aug 15, 2004 Issue Editorials Emergency Contraception: An Ongoing Debate CAROLINE WELLBERY M.D., Georgetown University School of Medicine, Washington, D.C. Am Fam Physician. 2004 Aug 15;70((4)):655-659. Related Article From a...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0815/p655.html

Preventing Unintended Pregnancy: Implications for Physicians - Editorials - American ...

Jun 15, 2004 - Advertisement << Previous article Next article >> Jun 15, 2004 Issue Editorials Preventing Unintended Pregnancy: Implications for Physicians RUTH LESNEWSKI, M.D., Institute for Urban Family Health New York, New York Am Fam Physician. 2004 Jun 15;69(12):2779-2782. The U.S. Preventive...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0615/p2779.html

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