Skip to main content

Contraception

Katharine L Neff, Doctor of Osteopathic Medicine and Jeremy Golding, FAAFP, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Medications or procedures that control timing of pregnancies and prevent unintended pregnancies

  • Options are divided into two major categories: hormonal and nonhormonal.

EPIDEMIOLOGY

Incidence

DIAGNOSIS

HISTORY

  • Review past medical, family, social, obstetric, and gynecologic histories including menstrual history, prior contraceptive use, and prior sexually transmitted infections (STIs).

  • Screen...

TREATMENT

GENERAL MEASURES

Method(s) should be selected based on patient preference, effectiveness, need for STI prevention, side effects, and contraindications. 

MEDICATION

  • Estrogen-progestin contracept...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • 1-3 months post-initiation to assess tolerance

  • Consider IUD string-check 1 month after insertion; spontaneous expulsion rate highest in the 1st m...

REFERENCES

1
Centers for Disease Control and Prevention. US Medical Eligibility Criteria (US MEC) for Contraceptive Use, 2016. https://www.cdc.gov/reproductivehealth/contraception/mmwr/mec/summary.html...

CODES

ICD10

  • Z30.9 Encounter for contraceptive management, unspecified

  • Z30.41 Encounter for surveillance of contraceptive pills

  • Z30.431 Encounter for routine checking of intrauterine contracep dev

  • Z30.09 E...

CLINICAL PEARLS

LARC methods provide very high efficacy and convenience for patients. 

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×