CCFP 105 Topics: Contraception - Part I

Written By: Kyla Freeman Peer Review By: Thomsen D'hont Expert Review By: Dr. Vanessa Rogers Objective One: With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise.  Objective Two: In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g. delayed initiation of method, illness, medications, specific lubricants) Objective Three: In aiding decision-making to ensure adequate contraception:  - Look for and identify risks (relative and absolute contraindications)  - Assess (look for) STI exposure  - Identify barriers to specific methods (e.g. cost, cultural concerns)  - Advise of efficacy and side effects, especially short-term side effects that may result in discontinuation  Objective Four: In patients using hormonal contraceptives, manage side effects appropriately (i.e. recommend an appropriate length of trial, discuss estrogens in medroxyprogesterone acetate [Depo-Provera].  Objective Five: In all patients, especially those using barrier methods or when efficacy of hormonal methods is decreased, advise about post-coital contraception  Objective Six: In a patient who has had unprotected sex or failure of the chosen contraceptive method, inform about time limits in post-coital contraception (emergency contraceptive pil, intrauterine device)