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Eating Disorders (EDs)
Published in S Paige Hertweck, Maggie L Dwiggins, Clinical Protocols in Pediatric and Adolescent Gynecology, 2022
Adolescent patients with EDs who are sexually active need contraception and cannot rely on menstrual cycle to predict ovulation. Long-acting reversible contraceptives (LARCs) remain the most reliable contraceptive method and should be considered. If oral contraceptive therapy is preferred, 30- to 35-ucg ethinyl estradiol containing pills are better than lower dose at protecting bone
Pulmonary Hypertension in Pregnancy
Published in Afshan B. Hameed, Diana S. Wolfe, Cardio-Obstetrics, 2020
All patients with a diagnosis of pulmonary hypertension should be counseled against pregnancy. A discussion of the contraceptive options should take place and preferably implemented prior to the patient's discharge to home. Common options are briefly reviewed (see Chapter 5). Long-acting reversible contraceptive (LARC) methods, such as intrauterine devices or subdermal hormonal implants, and permanent sterilization may be the most appropriate options with the lowest maternal risks.Permanent sterilization at time of cesarean delivery (if indicated).Estrogen-containing contraception is not recommended because of the increased risk of venous thromboembolic events (Medical Eligibility Criteria Category 4) [33]. In addition, exogenous estrogens may contribute to the pathogenesis of pulmonary hypertension [17].Progestin-only pills are not contraindicated, however have a relatively high “typical use” failure rate and are therefore are not an ideal choice.Injectable progestins (depo-provera) are Medical Eligibility Criteria Category 1 and therefore acceptable, although some evidence suggests risk of thrombotic events may be increased [17,33].
Adolescent contraception
Published in Joseph S. Sanfilippo, Eduardo Lara-Torre, Veronica Gomez-Lobo, Sanfilippo's Textbook of Pediatric and Adolescent GynecologySecond Edition, 2019
Hanna Goldberg, Jasmine Multani, Sari Kives
In North America, intrauterine contraceptive (IUC) use is increasing and is now estimated to be up to 9.3%.17–19 There are two types of IUC currently available in the United States and Canada: the copper intrauterine device (IUD) and the levonorgestrel-releasing intrauterine system (LNG-IUS). There are four types of LNG-IUS available in the United States: Mirena, Liletta, Kyleena, and Skyla. Mirena and Kyleena are available in Canada. Each LNG-IUS varies with respect to daily levonorgestrel release and duration of use (Table 16.2). Although long-acting reversible contraceptives (LARCs) are approved by the U.S. Food and Drug Administration (FDA) for 3–10 years of use depending on method chosen, current research is underway on extended duration beyond the FDA limits, and evidence for use beyond the FDA-approved times is available (Table 16.3).
Contraceptive method switching and discontinuation during the COVID-19 pandemic in Myanmar: findings from a longitudinal cohort study
Published in Sexual and Reproductive Health Matters, 2023
Erica Felker-Kantor, Ye Kyaw Aung, Jenny Wheeler, Brett Keller, Mahesh Paudel, Kristen Little, Si Thu Thein
Contraceptive discontinuation and method switching are two important indicators that may signal potential issues with the provision or use of certain methods.17 Both contraceptive discontinuation and method switching were projected to increase during the pandemic due to disruptions in supply chains, service closures and stockouts.11,16 Several recently published population-based panel studies from SSA that compared pre- and during pandemic periods, however, found that contraceptive discontinuation and method switching during the pandemic were relatively uncommon with most women sustaining their pre-COVID contraceptive behaviours.16,17 Furthermore, a study by Karp et al. among women in-union of reproductive age in Burkina Faso and Kenya reported that women who stopped a method during the pandemic were more likely to adopt a new method than discontinue altogether.17 On the contrary, small-scale studies in the Middle East and SSA showed an increase in contraceptive discontinuation and method switching from short-term to long-acting reversible contraceptives.18,19
Integration of family planning into HIV services: a systematic review
Published in Annals of Medicine, 2022
Luka Nkhoma, Doreen Chilolo Sitali, Joseph Mumba Zulu
Formalised training of service providers in insertions and removals of Long-Acting Reversible Contraceptives (LARC) was identified as key to the success of the provision of integrated family planning services among women who are HIV positive in health facilities [37]. Training included formalised classroom-based with certification, through workshops and through ongoing practical sessions through supportive supervision within hospitals and clinics by family planning Specialists [37]. Training facilitates integration by equipping service providers with the required competencies to provide quality integrated family planning and HIV services. Training also improves the skills in clinical practice as well as in professional competencies and this, in turn, ensures success in service integration.
Exploring college students’ sexual and reproductive health literacy
Published in Journal of American College Health, 2020
Cheryl A. Vamos, Erika L. Thompson, Rachel G. Logan, Stacey B. Griner, Karen M. Perrin, Laura K. Merrell, Ellen M. Daley
Lifestyle was also an important consideration for whether information about preventing pregnancy was applicable to them. Specifically, participants recognized that it was important to match the type of contraceptive to one’s daily routine. For instance, some contraception may need to be taken daily, compared to a long-acting reversible contraceptive (LARC) method, such as an intrauterine device (IUD) or implant, which requires a one-time provider insertion or removal visit. Participants explained how college students often have many competing demands and little consistency within their daily schedules, making the responsibility of remembering to take a daily oral contraceptive challenging. Another consideration discussed was whether a person wanted to use contraception to suppress their menstrual cycle.If we go back to evaluating not just cost, but also like if it's birth control, how easy or hard it is to take – if it's something…where I have to take it every day at the same time, that might be harder if you're a college student who is possibly working or has classes at different times every day. (FG 4, Female 6)