Showing papers in "Contraception in 2011"

TL;DR: For instance, the authors found that nearly half (49%) of pregnancies were unintended in 2006, up slightly from 2001 (48%) and the unintended pregnancy rate increased to 52 per 1000 women aged 15-44 years in 2006 from 50 in 2001.

TL;DR: A meta-analysis of two randomized controlled trials comparing the efficacy of ulipristal acetate with levonorgestrel found that women who have intercourse around ovulation should ideally be offered a copper intrauterine device.

TL;DR: Long-acting reversible contraception use is clearly acceptable and common among adolescents enrolled in the Contraceptive CHOICE Project, with the younger group being most interested in the implant.

TL;DR: Results of this pilot study suggest that this intervention may reduce the risk for reproductive coercion from abusive male partners among family planning clients and support such women to leave unsafe relationships.

TL;DR: Based on existing evidence, the Society of Family Planning recommends that, when labor induction abortion is performed in the second trimester, combined use of mifepristone and misoprostol is the ideal regimen to effect abortion quickly and completely.

TL;DR: This study does not indicate an increased risk of breast cancer for users of LNG(IUD), and no indications for tumor promotion or tumor induction were found.

TL;DR: The data showed that appropriately trained CHW demonstrate competency in screening clients, providing DMPA injections safely and counseling on side effects, although counseling appears equally suboptimal in both clinic and community settings.

TL;DR: The LNG-IUS is a more effective therapy for idiopathic menorrhagia compared to COC, and this study is the first to show this in a single-center, open, randomized clinical trial.

TL;DR: To avoid contraceptive failure or increased seizure activity, women with epilepsy should be offered contraceptive methods that do not interact with anticonvulsant medication.

TL;DR: The LNG-IUS appears to be an effective long-term treatment for HMB in women with IBDs as well as quality of life (QOL) during menstruation before and after insertion of the LNG -IUS.

TL;DR: Prophylactic misoprostol prior to IUD placement in nulliparous women did not reduce patient perceived pain, but it did appear to increase preinsertion side effects.

TL;DR: Use of the most effective contraceptives immediately post-abortion is rare in the United States, and state policies, high cost to patients, and the ongoing need for clinician training in the methods hinder provision and patient uptake.

TL;DR: Prophylactic efficacy of antibiotics begun after abortion has not been demonstrated in controlled trials, and the current evidence supports pre-procedure but not post-Procedure antibiotics for the purpose of prophylaxis.

TL;DR: An overview of vasectomy use and techniques is provided, and reasons for the disparity in vasectomy utilization in the United States are explored.

TL;DR: The aim of this guidance is to review the management of unacceptable vaginal bleeding patterns in etonogestrel (ENG)-releasing contraceptive implant users concentrating, where possible, on the evidence for pharmacological treatments and identifying a pragmatic approach where this is not possible.

TL;DR: Delaying levonorgestrel administration until the fifth day after unprotected intercourse increases the risk of pregnancy over five times compared with administration within 24 h, and should be administered as soon as possible after unprotected sex.

TL;DR: Immediate postplacental IUD insertion during cesarean section provides adequate protection against pregnancy, however, greater than one fourth of the participants discontinued IUD use due to spontaneous expulsion or other medical reasons.

TL;DR: The clinical performance of the device showed zero pregnancy rate, expulsion rates of ∼4/100 women-year and 1-year continuation rate of over 90% in both groups, and the LNG-IUS is suitable for use by nulligravidas.

TL;DR: Because Level I evidence documents no important increase in nonspecific side effects with oral contraceptives, counseling about these side effects or including them in package labeling is unwarranted and probably unethical and clinicians should err on the side of optimism.

TL;DR: This review examines available combined hormonal contraceptive options and compares them, where data are available, for efficacy, safety, cycle control, adverse events profiles and associated risks, and user preference and satisfaction.

TL;DR: In this paper, the effects of a 1% lidocaine paracervical block on perceived patient pain during intrauterine device (IUD) insertion were investigated and compared with no anesthetic.

TL;DR: Being unaffected by hormonal contraceptives, serum AMH measurement is potentially a useful clinical test in hormonal contraceptive users for the differential diagnosis of anovulatory disorders and determination of menopause.

TL;DR: Inclusion of natural estrogens such as estradiol valerate and 17β-estradiol with selective progestins in new combinations that maintain good cycle control is the most recent evolutionary step designed to improve COC tolerability and safety.

TL;DR: It was found that noncompliance was strongly associated with residential poverty level, an indirect measure of individual income, in the United States, which may motivate poor individuals to participate in clinical trials for income.

TL;DR: Alternatives to routine in-person follow-up visits after medication abortion are accurate at diagnosing ongoing pregnancy and the most promising modalities included serum human chorionic gonadotropin measurements, standardized assessment of women's symptoms combined with low-sensitivity urine pregnancy testing and telephone consultation.

TL;DR: Overall, 1-year pregnancy rates following cessation of oral contraceptives, contraceptive implants and monthly injections, copper IUDs and the LNG-IUS are broadly similar to those reported following discontinuation of barrier methods or use of no contraceptive method.

TL;DR: Few studies examine pain management during medical abortion, and heterogeneity of existing data limits comparison, so further research is needed to determine the optimal analgesia regimens for first-trimester and second- Trimester medical termination of pregnancy.

TL;DR: US FPs have training and knowledge gaps, as well as attitudes, that result in missed opportunities to discuss and provide IUC for all eligible patients, which contributes to unintended pregnancy.

TL;DR: Women of reproductive age on OA therapy should be monitored for menstrual disorders to ensure that prompt and appropriate treatment is instituted and advice about appropriate contraception should also be part of the medical care provided.

TL;DR: Hormonal contraceptives and IUDs are commonly recommended by providers rather than requested by women, and there is still more room for actively involving both women and men in their choice of a birth control method.