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Understanding Contraception

Understanding Contraception. Information about the most common methods of birth control for administrative staff in healthcare settings. Introduction. From the very first interaction, the patient should know that her contraceptive knowledge and choice is our priority

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Understanding Contraception

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  1. Understanding Contraception Information about the most common methods of birth control for administrative staff in healthcare settings

  2. Introduction • From the very first interaction, the patient should know that her contraceptive knowledge and choice is our priority • Each staff member plays an important role in a woman’s contraceptive visit and should have a working knowledge of all forms of birth control • “Know what you don’t know”—refer patient to counselor or clinician if she asks you a question beyond your training level

  3. Hi! I’d like to make an appointment to get on birth control. PATIENT MEDICAL RECEPTIONIST Okay, so you’re interested in getting on the pill…let me see when we can get you in… One assumption could affect her entire family planning visit!

  4. Objectives Equip administrative staff with working knowledge of contraception by: • Reviewing the most common, reversible contraceptive methods • Preparing them for frequently asked questions about each method

  5. Long-Acting Reversible Contraception (LARC) • Most effective reversible contraception • Over 99% effective, or 3 out of 1000 women will get pregnant in the first year • Includes 2 intrauterine devices (IUDs) and a subdermal arm implant • Fertility returns once device is removed • Considered first-line options for all women, including teens

  6. Hormonal IUD (Mirena®) • Over 99% effective • Inserted by a clinician into uterus • Lasts up to 5 years—can have it removed sooner • T-shaped device made out of plastic • Releases small dose of the hormone progestin primarily into the uterus • May experience some irregular bleeding • Greatest 3-6 months after insertion • After this time, periods become much lighter, much shorter • 20% of women stop having their period after the first year

  7. A Sample of Frequently Asked Questions: Hormonal IUD

  8. Non-Hormonal IUD (Copper IUD or ParaGard®) • Over 99% effective • Inserted by a clinician into uterus • Lasts for up to 10 years-can have it removed sooner • T-shaped device made out of plastic and copper—contains no hormones • May experience some spotting for the first few months after insertion • Some women experience heavier or crampier periods • Greatest 3-6 months after insertion • May get better over time

  9. A Sample of Frequently Asked Questions: Copper IUD

  10. Implant (Implanon®/Nexplanon®) • Over 99% effective • A small single rod, about the size of a matchstick, placed by a clinician on underside of arm • Releases the hormone progestin • Unable to see the rod, should be able to feel it • Lasts up to 3 years—can have it removed sooner • May experience irregular bleeding • some women have irregular bleeding for a month, six months, a year, or even the entire three years • some women have no bleeding at all • Unable to predict who will experience irregularity

  11. A Sample of Frequently Asked Questions: Implant

  12. Birth control shot (Depo-Provera®) • 94% effective, meaning that 6 out of 100 women will become pregnant in the first year with typical use • Shot given in muscle of butt or arm • Must be given every 3 months by health care provider • May experience some irregular bleeding • usually improves after third injection • 50% of women stop having their period after the first year

  13. A Sample of Frequently Asked Questions: Birth Control Shot

  14. Pills, Patch, and Vaginal Ring • 91% effective, meaning that 9 out of 100 women will become pregnant in the first year with typical use • Combined hormonal contraceptives—contain both estrogen and progestin • Side effects may include the following: • nausea • headache • moodiness • breast tenderness

  15. Combined HormonalBirth Control Pills • Contains the hormones estrogen and progestin • To be most effective, a pill needs to be taken every day at the same time • On the 4th week, a woman takes a row of placebo pills—this is the week a woman has her period

  16. Patch (Ortho-Evra®) • Apply the patch on the skin of the upper arm, shoulder, upper back, abdomen, hip or buttock. Do not place on genitals or breasts • Replace patch on the same day of every week • Don’t wear a patch on the 4th week—this is the week a woman will have her period • Should check it every day for placement

  17. Vaginal Ring (NuvaRing®) • Inserted by patient high into vagina. • Leave in for 3 weeks then remove for the 4th week—this is the week a woman will have her period • Comfortable for both partners during sex • May remove for up to 3 hours in a 24-hour period then rinse off with cool water and reinsert

  18. A Sample of Frequently Asked Questions: Pills, Patch and Ring

  19. Progestin-Only Pills • 91% effective, meaning that 9 out of 100 women will become pregnant in the first year with typical use • Contains the single hormone progestin • To be most effective, a pill needs to be taken every day at the same • Take an active pill every day of the month • If you are 3 or more hours late taking your pill, you must use a back-up method, such as condoms for 48 hours

  20. A Sample of Frequently Asked Questions: Progestin-Only Pills

  21. Condoms • 82% effective meaning 18 out of 100 women will become pregnant the first year with typical use • Only use one condom at a time • Never use the same condom twice • Always look for an expiration date • Never use an expired condom • Can be purchased without a prescription • Only method that protects against STIs

  22. A Sample of Frequently Asked Questions: Condoms

  23. Emergency Contraception (EC) • Two types • EC Pills (Examples include; Plan B®, Next Choice®, ella®) • Plan B® or Next Choice® available over the counter • ella® available with a prescription • Copper IUD (ParaGard®) • needs to be inserted by a clinician • Pills most effective when taken ASAP after unprotected sex • can be taken as much as 120 hours or 5 days after • Copper IUD can be placed up to 5 days after unprotected sex and can continue to use as highly effective contraception

  24. A Sample of Frequently Asked Questions:Emergency Contraception

  25. Hi! I’d like to make an appointment to get on birth control. MEDICAL RECEPTIONIST PATIENT Great! In our practice, we make sure women are aware of all of their birth control options, especially the most effective, reversible long-acting methods, which includes 2 IUDs and the implant. Let’s get you scheduled for your appointment with our contraceptive counselor. One informed statement can affect her entire family planning visit!

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