Oct
8
Sometimes it’s the little things that can make a big difference. Here are 7 practical, evidence-based recommendations you and your docotr can impliment now to improve contraceptive care:
- Do not require a pelvic examination before prescription of an oral contraceptive
Both the World Health Organization and the American College of Obstetricians and Gynecologists recommend doctors consider a pelvic exam optional before prescribing an oral contraceptive (OC). This removes a barrier to care for a patient who may fear it, postponing the exam to the near future when she may be more comfortable with her health care provider. - To encourage continuation, begin now
Starting OC pills immediately—instead of waiting for the Sunday after the next menstrual period can improve the short-term continuation rate (Use condoms as back up for first cycle if >7 days since the beginning of your last period). - Provide more, not less—Dispense at least 3 to 6 months of an OC
This results in a lower discontinuation rate. One study showed that dispensing a 12-month supply of OCs reduced unplanned pregnancies by 30% and abortions 46% (why aren’t health insurers listening to this?). - Move away from every-day regimens
Forgetting to take your pills? Consider a non daily method, such as Ortho Evra® patch (weekly) or vaginal Nuva Ring® (monthly). - Make a case for long-acting reversible contraceptives
IUDs and the skin implant Implanon® as first-line contraception more often—convenient, removes user errors, and much more effective ( 1% vs. 5% pregnancy rate with OCPs) - Emphasize non contraceptive benefits
Hormonal contraception reduces acne, menstrual flow and cramps. Counter false fears about weight gain or lingering effects on subsequent fertility. - Preemptive prescribing “Morning after pill”
If you are a sexually active woman using nothing, withdrawal, or condoms then ask your doctor for a prescription for emergency contraception—Plan B® or Ella. You can fill the prescription and keep it at home in case of unprotected sex.
Finally, let us reassure you that every method of birth control is safer for them then the risk of complications during pregnancy—after all this is the “disease” we are trying to prevent.
Wishing You Good Health,
Women’s Health Specialists
2299 Mowry Avenue, Suite #3C
Fremont, CA 94538
510.796.7057
www.WomensHealthFremont.com
Office hysteroscopic sterilization with permanent tubal inserts (Essure & Adiana) is well tolerated and takes less than 10 minutes. It avoids the risks and recovery of a tubal ligation, side effects of general anesthesia, and the expense and anxiety of a trip to the operating room.
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