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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

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

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

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

Recommendations for Preconception Counseling and Care - American Family Physician

Oct 15, 2013 - Given that nearly one-half of pregnancies are unintended, preconception care should be considered an integral part of primary care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body weight, screening and treatment for ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p499.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

Segesterone Acetate and Ethinyl Estradiol Vaginal Ring (Annovera) for Contraception - ...

May 15, 2020 - Annovera is an effective combined progestin/estrogen contraceptive device that can be used for one year.

American Family Physician : STEPS

https://www.aafp.org/afp/2020/0515/p618.html

Pain Medications Before IUD Placement - FPIN's Help Desk Answers - American Family ...

Jan 15, 2020 - Topical lidocaine preparations including gels, creams, and sprays may modestly decrease pain with tenaculum placement but not during IUD insertion.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2020/0115/p119.html

Integrating Breast Cancer Risk Management into Primary Care - Editorials - American ...

Mar 15, 2020 - It is important that primary care physicians have the ability and resources to identify women eligible for genetic counseling and testing for breast cancer.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0315/p330.html

Medication Use to Reduce Risk of Breast Cancer - Putting Prevention into Practice - ...

Mar 15, 2020 - E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0315/p373.html

Medication Use to Reduce Risk of Breast Cancer: Recommendation Statement - U.S. ...

Mar 15, 2020 - The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2020/0315/od1.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

HPV Vaccine for Prevention of High-Grade Precancerous Cervical Lesions - Medicine by ...

Apr 1, 2019 - Data suggest the benefits of HPV vaccination for reducing precancerous lesions outweigh the potential harms. Find out more.

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0401/od1.html

Prophylactic Vaccination Against Human Papillomavirus to Prevent Cervical Cancer and ...

Jan 1, 2019 - HPV vaccination in women 15 to 26 years of age prevents the development of cervical intraepithelial neoplasia (CIN) 2 and CIN 3 in women regardless of previous HPV exposure (number needed to treat [NNT] = 39). No serious adverse effects are associated with administration of the HPV ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0101/p15.html

Treatment Duration for Etonogestrel Implant - FPIN's Help Desk Answers - American ...

Aug 1, 2018 - The etonogestrel subdermal implant is approved by the U.S. Food and Drug Administration for contraception for up to three years, but it seems to be effective for up to five years.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0801/od3.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - D.M. is a 52-year-old woman who presents to your office for a well-woman visit. She has been menopausal since 50 years of age and has no significant medical or surgical history. She is up to date on her recommended screenings, with normal mammography and colonoscopy results, and has no ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0415/p541.html

Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal ...

Apr 15, 2018 - The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women and the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2018/0415/od1.html

Local Anesthesia for IUD Insertion or Endometrial Biopsy - FPIN's Help Desk Answers - ...

Dec 1, 2017 - Topical application of lidocaine/prilocaine cream to the cervix reduces mean pain scores during IUD insertion. Intrauterine instillation of liquid anesthesia reduces median pain scores during endometrial biopsy.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1201/od3.html

Immediate Postpartum LARC: An Underused Contraceptive Option - Editorials - American ...

Jan 1, 2018 - Providing immediate postpartum LARC to women who want it is an evidence-based, patient-centered, and safe practice.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0101/p9.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

Hormonal Contraceptives in Women Who Are Overweight or Obese - FPIN's Help Desk Answers...

Jun 1, 2017 - Hormonal contraceptives (oral contraceptive pills, implants, patches, and rings) are highly effective in women of all weights.There is no consistently demonstrated increased risk of pregnancy in overweight women using any specific hormonal method of contraception.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0601/p732.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

Recommendations for Preconception Care - American Family Physician

Aug 1, 2007 - Every woman of reproductive age who is capable of becoming pregnant is a candidate for preconception care, regardless of whether she is planning to conceive. Preconception care is aimed at identifying and modifying biomedical, behavioral, and social risks through preventive and ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0801/p397.html

AAFP Releases Position Paper on Preconception care - Practice Guidelines - American ...

Sep 15, 2016 - The American Academy of Family Physicians (AAFP) has released a position paper providing evidence-based recommendations that address reproductive health care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0915/p508.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

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

Optimal Use of IUDs: Why Aren't We There Yet? - Editorials - American Family Physician

Mar 15, 2014 - IUDs are safe and effective. Physicians with an understanding of IUD procedures and of their benefits and risks are more likely to appropriately counsel their patients.

American Family Physician : Editorials

https://www.aafp.org/afp/2014/0315/p434.html

Pelvic Floor Muscle Training Does Not Reduce Postpartum Urinary Incontinence - POEMs - ...

Mar 1, 2014 - This intervention, which included primiparous women with and without urinary incontinence at six weeks post-partum, demonstrated that intensive supervised pelvic floor muscle training did not reduce the prevalence of urinary incontinence at six months. These results are noteworthy ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0301/p390.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

New Contraceptive Options - American Family Physician

Feb 15, 2004 - Almost one half of pregnancies in the United States are unintended. Primary reasons for the high rate of unplanned pregnancy include dissatisfaction with or underuse of effective contraceptive methods and poor compliance with contraceptive methods that require daily adherence. Several ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0215/p853.html

Contraceptive Education for Women After Childbirth - Cochrane for Clinicians - American...

Jun 1, 2013 - Postpartum education may increase contraceptive use and reduce unplanned repeat pregnancies, although the evidence is mixed. The optimal timing and content of educational programs are not known.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0601/p761.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

Update on Oral Contraceptive Pills - American Family Physician

Nov 1, 1999 - Oral contraceptive pills are widely used and are generally safe and effective for many women. The World Health Organization has developed a risk classification system to help physicians advise patients about the safety of oral contraceptive pills. The choice of pill formulation is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2073.html

Guidelines for the Use of Long-Acting Reversible Contraceptives - Practice Guidelines -...

Feb 15, 2012 - The use of long-acting reversible contraceptives (LARCs) has increased from 1.3 to 5.5 percent over the past decade. There are three LARCs available in the United States: the etonogestrel single-rod implant and two types of intrauterine devices (IUDs; copper T380A and levonorgestrel ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0215/p403.html

Emergency Postcoital Contraception - American Family Physician

Nov 15, 2000 - Emergency postcoital contraception, a method used to prevent pregnancy after unprotected sexual intercourse, is a highly effective but underutilized birth control option. Two hormone regimens, ethinyl estradiol (100 microg) with levonorgestrel (0.5 mg) or high-dose levonorgestrel (0.75 ...

American Family Physician : Article

https://www.aafp.org/afp/2000/1115/p2287.html

Cochrane for Clinicians - Oct 1, 2005 - American Family Physician

Oct 1, 2005 - Although no difference in effectiveness has been demonstrated in existing trials, too few patients have been studied to detect small but clinically important differences in pregnancy rates. Low-dose estrogen pills have higher rates of discontinuation and bleeding disturbances.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1001/p1224a.html

ACS Releases Guidelines for HPV Vaccination - Practice Guidelines - American Family ...

Mar 15, 2008 - An expert panel was convened by the American Cancer Society (ACS) to review the data on human papillomavirus (HPV) vaccines and to develop recommendations for their use. This group worked independently from the Advisory Committee on Immunization Practices (ACIP) of the Centers for ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0315/p852.html

Levonorgestrel/Ethinyl Estradiol (Lybrel) for Continuous Contraception - STEPS - ...

Jan 15, 2008 - Lybrel appears to be as safe and effective as other combined oral contraceptives; however, at this time, there is little published data about this specific product. Other combined monophasic oral contraceptives, some of which cost less than Lybrel, can be used continuously and have been...

American Family Physician : STEPS

https://www.aafp.org/afp/2008/0115/p222.html

ACOG Releases Guidelines on Antibiotic Prophylaxis for Gynecologic Procedures - ...

Apr 1, 2007 - The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on the appropriate use of antibiotic prophylaxis in women undergoing gynecologic procedures.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0401/p1094.html

Advance Provision for Emergency Oral Contraception - Cochrane for Clinicians - American...

Sep 1, 2007 - Providing oral emergency contraceptives in advance to fertile women for use after unprotected sexual intercourse (i.e., advance provision) does not affect pregnancy rates, condom use, sexually transmitted infection rates, or type of contraception used. Advance provision more than ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0901/p654.html

Levonorgestrel-Releasing Intrauterine System (Mirena) for Contraception - STEPS - ...

May 15, 2006 - The levonorgestrel-releasing intrauterine system is a reliable, reversible, low-maintenance method of long-term contraception. Rates of failure are similar to those of female sterilization, and the risk of expulsion is minimal for most users.

American Family Physician : STEPS

https://www.aafp.org/afp/2006/0515/p1799.html

Combined Oral Contraceptives for Mothers Who Are Breastfeeding - FPIN's Clinical ...

Oct 1, 2005 - There is currently no evidence of harm; however, few patients have been studied and existing studies have many limitations. Therefore, it is not possible to definitively answer this question at this time. The existing low-quality evidence suggests that combined oral contraceptives may ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/1001/p1303.html

Practice Guidelines - Mar 1, 2006 - American Family Physician

Mar 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released evidence-based guidelines for medical abortion.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0301/p925a.html

Practice Guidelines - Mar 1, 2006 - American Family Physician

Mar 1, 2006 - Guidelines for the routine use of the newly approved tetravalent meningococcal conjugate vaccine (MCV4) and updated guidelines for the use of the standard tetravalent meningococcal polysaccharide vaccine (MPSV4) have been issued in a policy statement from the Committee on Infectious ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0301/p925.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

Cochrane for Clinicians - Oct 1, 2005 - American Family Physician

Oct 1, 2005 - There is limited, weak evidence that a low glycemic index diet improves risk factors for CHD, but there are no randomized controlled trials (RCTs) showing a reduction in morbidity or mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/1001/p1224.html

Raloxifene for Prevention of Osteoporotic Fractures - FPIN's Clinical Inquiries - ...

Jul 1, 2005 - Raloxifene (60 mg daily for three years) will prevent one vertebral fracture, including asymptomatic fractures, for every 46 postmenopausal women with osteoporosis or presence of previous vertebral fractures. Raloxifene has not been shown to prevent nonvertebral fractures. It is unclear...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/0701/p132.html

Ethinyl Estradiol/Levonorgestrel (Seasonale) for Oral Contraception - STEPS - American ...

Apr 15, 2005 - Women using ethinyl estradiol/levonorgestrel can expect similar or improved effectiveness and fewer menstrual cycles. Due in part to an increased incidence of unexpected bleeding in the first six months of use, a greater percentage of women will discontinue this regimen than will those ...

American Family Physician : STEPS

https://www.aafp.org/afp/2005/0415/p1581.html

Ethinyl Estradiol/Drospirenone (Yasmin): A Newer Oral Contraceptive - STEPS - American ...

May 15, 2004 - An effective oral contraceptive, ethinyl estradiol/drospirenone can elevate potassium levels when given in combination with other potassium-elevating agents and offers no advantage over traditional oral contraceptives.

American Family Physician : STEPS

https://www.aafp.org/afp/2004/0515/p2425.html

ACOG Releases Recommendations on Sterilization - Practice Guidelines - American Family ...

Feb 15, 2004 - The Committee on Practice Bulletins-Gynecology of the American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin on sterilization. The bulletin lists methods of surgical sterilization, including laparoscopy, minilaparotomy, and transcervical and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0215/p994.html

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