Skip to main content
General Medicine

Contraception

Chloe Sabine Courchesne, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

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

  • Otions 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

  • 2-3 months postinitiation to assess tolerance

  • Check for IUD strings 1 month after insertion; spontaneous expulsion rate highest in the 1st month

  • B...

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...

SEE ALSO

https://www.reproductiveaccess.org/contraception/: information for providers and patients, updated regularly 

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 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.

START 10-DAY FREE TRIAL
Subscribe Now
GET CME/CE
Related Images
Left Arrow Button Right Arrow Button

<bold>FIG. 27.9.</bold>The Mirena intrauterine device. A: Insertion of Mirena into uterine cavity. B: The arms of the Mirena are released. C: Mirena is positioned near the uterine fundus. D: Releasing the Mirena IUD and withdrawing the inserter. E: The Mirena IUD.

 

<bold>FIG. 27.9.</bold>The Mirena intrauterine device. A: Insertion of Mirena into uterine cavity. B: The arms of the Mirena a...

    ×
     
    ©2023 Wolters Kluwer Health, Inc. and/or its subsidiaries. All rights reserved.
    Enter an Access Code
    Enter the code from your copy of The 5-Minute Clinical Consult or another access code to create an account.
    Redeem
    ×