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Contraception

Gena M. Grospe, DO and Roxanne Smith, MD, MPH Reviewed 06/2019
 


BASICS

DESCRIPTION

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

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

  • T...

DIAGNOSIS

HISTORY

  • Review past medical, family, social, obstetric, and gynecologic histories including menstrual history, prior experience with contraceptives, and prior sexually transmitted diseases (S...

TREATMENT

GENERAL MEASURES

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

  • General categories included hormonal and...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Pelvic exam, Pap smear, and STI testing per guidelines and routine follow-up 2 to 3 months postinitiation of all methods to assess tolerance

  • Chec...

REFERENCES

1
Daniels K, Daugherty J, Jones J. Current Contraceptive Status among Women Aged 15–44: United States, 2011–2013. Hyattsville, MD: National Center for Health Statistics; 2014. NCHS Data Brie...

ADDITIONAL READING

“CDC Contraception” Available as chart and app for smartphone [View Abstract on OvidMedline] 

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

  • Hormonal and IUD contraceptives may be initiated immediately if the likelihood of preexisting pregnancy is low.

  • LARC methods provide high efficacy and convenience for patients.

  • All patie...

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