Contraceptive Counseling & follow up
What information should be included during contraceptive counseling?
Contraceptive counseling should contain accurate and nonjudgmental information about all contraceptive methods and assistance with selecting the method that is best for each patient. Counseling session topics should include:
What information should be included when counseling about intrauterine devices (IUDs)?
Contraceptive counseling should contain accurate and nonjudgmental information about all contraceptive methods and assistance with selecting the method that is best for each patient. Counseling session topics should include:
- Medical history
- Reproductive life plan
- Contraceptive experiences and preferences
- Sexual history and risk assessment
- Method effectiveness
- Correct use of the method
- Non-contraceptive benefits
- Protection from STD and HIV1
What information should be included when counseling about intrauterine devices (IUDs)?
- Provide patients with the following information about the different types of IUDs:
ParaGard® (Copper-T IUD)- Does not contain hormones.
- May be used for up to 10 years.
- May also be used as emergency contraception if inserted up to five days after unprotected sex2
- Most women who use Paragard have periods that are slightly longer and heavier than usual.
Mirena® (Hormonal IUD):- Contains levonorgestrel (progestin).
- May be used for up to 5 years.
- Most women who use Mirena have light periods occasionally or no periods at all.
Skyla® (Hormonal IUD):- Contains levonorgestrel (progestin).
- May be used for up to 3 years.
- Most women who use Skyla continue to get regular periods that are lighter and shorter than usual.
Liletta® (Hormonal IUD):- Newest and more affordable IUD.
- Contains levonorgestrel (progestin).
- May be used for up to 3 years.
- Inform patients that a trained provider is required for IUD insertion and removal. Mild pain and some cramping are expected during the insertion. Patients may also request a trained provider to remove the IUD at any time.
- Prior to IUD placement, counsel patients on the following topics:
- Expectations during the first few days and months
- Side effects
- Checking strings
- Follow-up
- STI protection3
