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Conclusion: Findings from this study support the importance of raising awareness and improving targeted contraceptive counseling for premenopausal women with early breast cancer.

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Addressing postpartum contraception practices utilizing a multidisciplinary Pregnancy Heart Team approach

Available online 20 September 2022, 100100 : Cardiovascular disease (CVD) has emerged as the leading cause of maternal morbidity and mortality, making planned pregnancy, and thereby reliable contraception among people ..... see more

Source : https://www.sciencedirect.com/science/article/pii/S2666577822000491?v=s5


Conclusion: People with CVD cared for by a Pregnancy Heart Team had higher odds of reliable postpartum contraception planning and uptake compared to a low-risk cohort and similar odds compared to a high-risk cohort. Pregnancy could serve as a critical period for contraception counseling and family planning among people with CVD. A...

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Intrauterine Device Training, Attitudes, and Practices Among U.S. Health Care Providers: Findings from a Nationwide Survey

Provider training in intrauterine device (IUD) procedures is a key strategy for improving evidence-based IUD care. We examined the influence of IUD training on IUD attitudes and practices among U.S. ..... see more

Source : https://www.whijournal.com/article/S1049-3867(22)00085-8/fulltext


Conclusion: Training in routine IUD placement was associated with evidence-based IUD safety attitudes, confidence in performing IUD procedures, and clinical practices aligned with Centers for Disease Control and Prevention contraception guidance. Expanding IUD training might increase evidence-based care and patient access to the full range of...

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Contraception Recommendations: Updates for the Busy Clinician

Primary care clinicians are an important source of reproductive health care,1 but it can be challenging for busy clinicians to keep up with new developments. The U.S. Food and Drug ..... see more

Source : https://www.aafp.org/pubs/afp/issues/2022/0900/editorial-contraception-recommendations.html


Conclusion: To help busy clinicians easily access these recommendations, the CDC's smartphone application (available on iOS and Android platforms) enables users to view recommendations by choosing up to three patient characteristics or medical conditions simultaneously and includes a user tutorial. Users can quickly review practice...

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Contraceptive efficacy and safety of 52mg LNG-IUS for up to 8 years: findings from the Mirena Extension Trial

Availability of the data underlying this publication will be determined later according to Bayer's commitment to the EFPIA/PhRMA "Principles for responsible clinical trial data sharing". This pertains to scope, time ..... see more

Source : https://www.ajog.org/article/S0002-9378(22)00729-3/fulltext


Conclusion: The 52-mg LNG-IUS, initially approved for 5 years, maintains high contraceptive efficacy, user satisfaction, and a favorable safety profile through 8 years of use.

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Hormonal contraceptives, stress, and the brain: The critical need for animal models

Hormonal contraceptives are among the most important health and economic developments in the 20thCentury, providing unprecedented reproductive control... see more

Source : https://www.sciencedirect.com/science/article/abs/pii/S0091302222000589


Conclusion: Identifying who will likely benefit from specific formulations of HCs and predicting who is likely at risk for adverse side effects will allow for more people to benefit from the economic and health benefits of HCs, with fewer people experiencing depression and other adverse mood-related side effects. To do this, we first need to...

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Women's experience of unintended pregnancy and changes in contraceptive methods: evidence from a nationally representative survey - Reproductive Health

Background Ineffective or no use of contraception following an unintended pregnancy contributes to a subsequent unintended pregnancy. This study aimed to determine whether women's experiences of unintended pregnancies affect changing ..... see more

Source : https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-022-01492-w


Conclusion: Experience of unintended pregnancy did not change women’s contraception using patterns, which indicates the risk of repeat unintended pregnancies and associated adverse consequences, including maternal and child morbidity and mortality.

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Estradiol and intrauterine device treatment for moderate and severe intrauterine adhesions after transcervical resection - BMC Women's Health

Objective To explore the effect of 4 mg/day, 6 mg/day, and 8 mg/day estradiol alone or in combination with an intrauterine device (IUD) in patients with moderate and severe intrauterine ..... see more

Source : https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-022-01940-6


Conclusion: our data suggested that 4 mg/day doses of estrogen may have the same effect in improving the menstrual condition, uterine cavity morphology, and reproductive ability compared to a higher dosage (6 mg/day estrogen and 8 mg/day). In addition, the placement of IUD in the uterine cavity during TCRA may cause IUD incarceration, and the...

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Text reminders encourage more women to seek family planning services: Evidence from a randomized control trial in Mozambique

Modern contraception and family planning have substantial health benefits, helping women to manage birth spacing and thus reducing maternal and neonatal mortality and morbidity. However, access is limited in many ..... see more

Source : https://www.ifpri.org/blog/text-reminders-encourage-more-women-seek-family-planning-services-evidence-randomized-control


Discussion: How effective would text reminder messages for family planning services be in a country with greater access to technology compared to a country with limited access? Would the former country have more rapid follow-up at clinics.

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General Approaches to Medical Management of Menstrual Suppression

Number 3 (Replaces Committee Opinion Number 668, August 2016) Committee on Clinical Consensus-Gynecology. This Clinical Consensus was developed by the American College of Obstetricians and Gynecologists' Committee on Clinical Consensus-Gynecology ..... see more

Source : https://www.acog.org/clinical/clinical-guidance/clinical-consensus/articles/2022/09/general-approaches-to-medical-management-of-menstrual-suppression


Conclusion: Expert opinion suggests that unscheduled bleeding can decrease with continued use; thus, a patient may be counseled to adhere to a method for 3–6 months before initiating medical management of breakthrough bleeding. However, if a patient finds the unscheduled bleeding unacceptable, several treatment options are available and...

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Conclusion: This cohort study found a risk for ENM in women with laparoscopically confirmed endometriosis. These women compared with those without endometriosis may be at a higher risk for shortened reproductive duration, particularly those who were nulliparous or never used oral contraceptives.

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Conclusion: Ultimately, the findings highlighted how telehealth reimbursement parity policies alone were insufficient in addressing unmet need for contraceptive care.

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BRCA mutation carriers' perception about benefits and risks associated with combined hormonal contraceptives use

Abstract To evaluate the actual perceptions about combined hormonal contraceptives (CHCs) use in BRCA mutation carriers in comparison to women from the general population. This was a cross-sectional, observational study ..... see more

Source : https://www.tandfonline.com/doi/full/10.1080/13625187.2022.2107199?src=


Conclusion: Investing time and effort in transmitting the correct key messages about oncological risk related to CHC use could potentially increase their use in BRCA mutation carriers.

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Adherence among a cohort taking progestin-only pills prescribed by a healthcare provider: Results of the BENCHMARK study

To measure adherence over six months of progestin-only pill (POP) use. Prospective observational cohort study measuring adherence to daily dosing and timing of dose in patients prescribed a POP, with ..... see more

Source : https://www.sciencedirect.com/science/article/pii/S0010782422001081


Conclusion: Among participants taking a prescribed POP, participants demonstrated high adherence for daily pill taking and the same time of day, though the majority were not 100% adherent.

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Effectiveness of Training Primary Care Internal Medicine Residents in Etonogestrel Implants and Impact on Their Future Practice: A Cross-Sectional Study - PubMed

doi: 10.1016/j.contraception.2022.07.013. Online ahead of print. 1 Primary Care/Social Internal Medicine Residency Program, Montefiore Medical Center, 3544 Jerome Avenue, Bronx, NY, 10467, USA. Electronic address: [email protected] 2 Primary Care/Social Internal ..... see more

Source : https://pubmed.ncbi.nlm.nih.gov/35917931/


Conclusion: The primary care Internal Medicine program graduates we surveyed (n=14) valued our etonogestrel implant training program and perceived competence, particularly with implant placement. However, even those who intended to provide etonogestrel implants post-graduation were unable to do so.

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Pooled analysis of two phase 3 trials evaluating the effects of a novel combined oral contraceptive containing estetrol/drospirenone on bleeding patterns in healthy women - PubMed

doi: 10.1016/j.contraception.2022.07.010. Online ahead of print. 1 Department of Obstetrics and Gynecology, University of Florida College of Medicine- Jacksonville, Jacksonville, Florida, USA. 2 Department of Obstetrics, Gynecology, and Reproductive Sciences, ..... see more

Source : https://pubmed.ncbi.nlm.nih.gov/35921872/


Conclusion: E4/DRSP use results in a predictable bleeding pattern with limited unscheduled bleeding/spotting. Noncompliance and BMI affect bleeding patterns.

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Let's Talk about Sleep Baby: Sexual Activity Postpartum and Its Links with Room Sharing, Parent Sleep, and Objectively Measured Infant Sleep and Parent Nighttime Crib Visits

ABSTRACT ABSTRACT The postpartum period may pose a considerable challenge for both parent sleep and sexual activity. This study assessed the links between partnered sexual frequency and satisfaction postpartum and ..... see more

Source : https://www.tandfonline.com/doi/full/10.1080/00224499.2022.2092050


Discussion: Future work may wish to assess whether interventions addressing parental involvement at nighttime may be useful not only in facilitating infant and parent sleep, but also in supporting the recovery of parents’ partnered sexual activity following the birth of their child.

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Sustained impact of community-based interventions on contraceptive use among married adolescent girls in rural Niger: Results from a cluster randomized controlled trial - PubMed

Objective: This study evaluated the sustained impact of community-based family planning (FP) interventions on current modern contraceptive and long-acting reversible contraceptive (LARC) use among married adolescent girls in rural Niger. ..... see more

Source : https://pubmed.ncbi.nlm.nih.gov/35900221/


Conclusion: This study contributes to the empirical evidence base on the sustained impact of community-based interventions on increases in FP use among married adolescent girls in low- and middle-income countries.

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Discussion: Our findings indicate that the drivers of contraceptive failure occur at different levels that are all nested within systemic and social structures. These findings and our adaptations of the HBM may inform further work to identify the specific correlates of contraceptive failure as well as indicate opportunities for improving...

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Measuring contraceptive method mix, prevalence, and demand satisfied by age and marital status in 204 countries and territories, 1970-2019: a systematic analysis for the Global Burden of Disease Study 2019

The dominance of one contraceptive method in some locations raises the question of whether family planning policies should aim to expand method mix or invest in making existing methods more ..... see more

Source : https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00936-9/fulltext


Discussion: By concentrating on the needs and barriers to use faced by the groups with the most unmet need, programmes can identify targeted strategies that bolster use of contraception and unlock its social and economic benefits.