Contraception
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Clinicians Can Follow Recommendations to Better Serve Transgender Populations
Family planning clinicians and obstetrician/gynecologists likely will see transgender or gender-diverse patients seeking contraceptive care. Clinicians should learn more about transgender and gender-diverse patients to better inform their care of these populations.
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Guidance Helps Clinicians Counsel Transgender Patients on Contraception
One of the challenges facing family planning clinics and obstetricians/gynecologists when serving transgender and gender-diverse patients is the lack of research and evidence-based guidelines to inform their clinical decisions. More research is needed about contraceptive needs and health effects on transgender and gender-diverse people, experts say.
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Study Reveals Low Rate of Contraceptive Use in Women with Recent Preterm Births
Medicaid claims data among a North Carolina cohort show that women were less likely to fill a contraceptive claim within 90 days after preterm birth. Investigators theorized it would be harder for women to access contraception after a preterm birth because they would be caring for a medically fragile infant. Also, women who deliver preterm experience shorter pregnancies, which means there is less time for a conversation with their healthcare providers about contraception.
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Servicewomen Experience Barriers to Contraception
A follow-up survey of United States servicewomen and their access to contraceptives during their deployment revealed both good and bad news. Some women reported greater access to contraception, while others experienced barriers to obtaining contraceptives in the weeks leading up to their deployment.
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Study: Copper IUDs Do Not Appear to Prevent Implantation or Increase HIV Risk
For decades, clinicians and the public assumed that copper intrauterine devices (IUDs) prevented pregnancy by preventing implantation. There also was fear that IUDs could increase a woman’s risk of HIV infection. Results of a new study suggested these assumptions are incorrect.
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Contraceptive Implants Are an Option for Patients Taking Isotretinoin
When clinicians prescribe the acne medication isotretinoin, they advise reproductive-age women to avoid pregnancy through two different contraceptives and an online iPledge app. Since the drug causes severe birth defects, it is important young women do not become pregnant while taking the drug. Etonogestrel contraceptive implants could be one contraceptive option for women taking isotretinoin, but there are concerns the acne drug would decrease the effectiveness of hormonal contraceptives.
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Associations and Regulators Recommend Guidelines for Reopening Clinics
The American College of Obstetricians and Gynecologists and the Infectious Diseases Society of America offered guidelines for how physician offices, clinics, and other facilities can reopen to in-person, nonessential services in the next phase of the pandemic.
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Abortion Access Problems Arise During COVID-19 Pandemic
Some states used the COVID-19 pandemic to stop abortion clinics from operating, saying abortions were nonessential medical services. Lawsuits helped reopen some sites, but abortion access was limited.
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Study Finds High Prevalence of STIs in Pregnant Adolescents
A new study revealed that teenagers who give birth have a higher-than-expected risk of sexually transmitted infections and high rates of preterm births and chorioamnionitis.
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Tech-Driven Nursing Intervention Helps Prevent STIs, Improves Care
A technology-enhanced community health nursing intervention proved useful as a method for preventing gonorrhea and chlamydia infections. It also helped patients improve management of pelvic inflammatory disease.