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Contraception

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of contraception are prepared by our editorial team based on guidelines from the American Academy of Family Physicians (AAFP 2022,2021).
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Diagnostic investigations

Pap testing: as per AAFP 2021 guidelines, do not obtain Pap testing before prescribing hormonal contraception.
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Medical management

Emergency contraception: as per AAFP 2022 guidelines, offer the following options for emergency contraception: a copper intrauterine device as the most effective method; a levonorgestrel-releasing intrauterine system (52 mg) as a similarly effective option; followed by oral ulipristal (30 mg), oral levonorgestrel (1.5 mg), and the Yuzpe method as alternative options.
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More topics in this section

  • Initiation of hormonal contraception

  • Oral contraceptives

  • Subcutaneous contraception

  • Intrauterine device

Nonpharmacologic interventions

Fertility awareness: as per AAFP 2022 guidelines, consider using fertility awareness methods of contraception, as they are generally safe, recognizing that they have varying effectiveness depending on the method used and are similarly effective as condom use and the withdrawal method.
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