US Selected Practice Recommendations for Contraceptive Use, 2016
Table of Contents
- Summary
- Introduction
- How To Be Reasonably Certain that a Woman Is Not Pregnant
- Intrauterine Contraception
- Initiation of Cu-IUDs
- Initiation of LNG-IUDs
- Examinations and Tests Needed Before Initiation of Cu-IUD or an LNG-IUD
- Provision of Prophylactic Antibiotics at the Time of IUD Insertion
- Routine Follow-Up After IUD Insertion
- Bleeding Irregularities with Cu-IUD Use
- Bleeding Irregularities (Including Amenorrhea) with LNG-IUD Use
- Management of the IUD when a Cu-IUD or an LNG-IUD User Is Found To Have PID
- Management of the IUD when a Cu-IUD or an LNG-IUD User Is Found To Be Pregnant
- Table 1. Classification of examinations and tests needed before IUD insertion
- Implants
- Injectables
- Initiation of Injectables
- Examinations and Tests Needed Before Initiation of an Injectable
- Routine Follow-Up After Injectable Initiation
- Timing of Repeat Injections
- Bleeding Irregularities (Including Amenorrhea) During Injectable Use
- Table 3. Classification of examinations and tests needed before DMPA initiation
- Combined Hormonal Contraceptives
- Initiation of CHCs
- Examinations and Tests Needed Before Initiation of CHCs
- Number of Pill Packs that Should be Provided at Initial and Return Visits
- Routine Follow-Up After CHCs
- Late or Missed Doses and Side Effects from CHCs Use
- Vomiting or Severe Diarrhea While Using COCs
- Unscheduled Bleeding with Extended or Continuous Use of CHCs
- Figure 2. Recommended actions after late or missed combined oral contraceptives
- Figure 3. Recommended actions after delayed application or detachment with combined hormonal patch
- Figure 4. Recommended actions after delayed insertion or reinsertion with combined vaginal ring
- Table 4. Classification of examinations and tests needed before combined hormonal contraceptive initiation
- Figure 5. Recommended steps after vomiting or diarrhea while using combined oral contraceptives
- Progestin-Only Pills
- Initiation of POPs
- Examinations and Tests Needed Before Initiation of POPs
- Number of Pill Packs that Should be Provided at Initial and Return Visits
- Routine Follow-Up After POPs initation
- Missed POPs
- Vomiting or Severe Diarrhea (for any reason or duration) that occurs within 3 hours after taking pill
- Table 5. Classification of examinations and tests needed before POP initiation
- Standard Days Method
- Emergency Contraception
- Female Sterilization
- Male Sterilization
- When Women Can Stop Using Contraceptives
- Conclusion
- References
- Appendix A:Summary Chart of U.S. Medical Eligibility Criteria for Contraceptive Use, 2016
- Appendix B: When To Start Using Specific Contraceptive Methods
- Appendix C: Examinations and Tests Needed Before Initiation of Contraceptive Methods
- Appendix D: Routine Follow-Up After Contraceptive Initiation
- Appendix E: Management of Women with Bleeding Irregularities While Using Contraception
- Appendix F: Management of Intrauterine Devices When Users are Found To Have Pelvic Inflammatory Disease
- Participants
- Page last reviewed: February 1, 2017
- Page last updated: February 1, 2017
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