Contraception

Adriana C. Linares and Ann I. Schutt-Ainé

Chapter contents

Use of Contraception

468

Combined Hormonal Contraceptives

473

History

468

Progestin-Only Contraceptives

474

Prevalence

468

Intrauterine Contraceptives

475

Impediments to Access

468

Sterilization

476

Counseling

468

Mechanism of Action

476

Contraception Methods

469

Tubal Ligation

476

Failure Rates

469

Vasectomy

476

Medical Eligibility Criteria

469

Emergency Contraception

477

Barrier Contraceptives and Spermicides

470

Emergency Contraceptive Pills

477

Fertility Awareness Methods

472

Copper-T380A Intrauterine Device

477

Coitus Interruptus/Withdrawal

473

Conclusion

477

Among U.S. women, the prevalence of ever using a contraceptive method is almost 98% (Chandra et al., 2005). By addressing issues related to contraception at each visit, an informed family physician can help prevent complications stemming from interactions with prescribed and over-the-counter medications, as well as from the use of the contraceptive method itself.

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