Elisabeth J. Woodhams, MD, MSc; Melissa Gilliam, MD, MPH
CME Objective: To review current evidence for epidemiology; efficacy; medical, counseling, cost, and provider considerations; and practice improvement of contraception.
Funding Source: American College of Physicians.
Disclosures: Drs. Woodhams and Gilliam, ACP Contributing Authors, have nothing to disclose. The forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2608.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Proctor & Gamble, Pfizer, and Johnson & Johnson.
With the assistance of additional physician writers, the editors of Annals of Internal Medicine develop In the Clinic using MKSAP and other resources of the American College of Physicians.
In the Clinic does not necessarily represent official ACP clinical policy. For ACP clinical guidelines, please go to https://www.acponline.org/clinical_information/guidelines/.
Contraception counseling and provision are vital components of comprehensive health care. Unplanned pregnancy can be devastating to any woman but is particularly dangerous for those with chronic illness. Internal medicine providers are in a unique position to provide contraception, as they often intersect with women at the moment of a new medical diagnosis or throughout care for a chronic problem. A shared decision-making approach can engage patients and ensure that they choose a contraceptive method that aligns with their reproductive plans and medical needs.
Woodhams EJ, Gilliam M. Contraception. Ann Intern Med. ;170:ITC18–ITC32. doi: 10.7326/AITC201902050
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Published: Ann Intern Med. 2019;170(3):ITC18-ITC32.
Endocrine and Metabolism, Healthcare Delivery and Policy, Infectious Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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