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Contraception

What I talk about when I talk about family planning

What I talk about when I talk about family planning

By Dr. Michelle C. Chan on October 22, 2024

Recent studies on options in family planning have changed my practice, and I now routinely take the opportunity when reviewing family planning options for people who are at risk of becoming pregnant and do not want to be pregnant to review emergency contraception and abortion as options in family planning.

LNG-IUS (Mirena) IUD for emergency contraception

LNG-IUS (Mirena) IUD for emergency contraception

By Dr. Emma Coffey on April 3, 2023

Many patients don’t know that an IUD is a highly effective option for emergency contraception. We can offer patients either the 52mg LNG-IUS (up to 5 days) or the copper IUD (up to 7 days) for EC. Both options are highly effective at preventing pregnancy (>99%).

Why I talk about all Long Term Reversible Contraception (LARC)

Why I talk about all Long Term Reversible Contraception (LARC)

By Dr. Konia Trouton on September 12, 2022

Patient satisfaction and continuation rates are very well documented for various contraceptives in Canada. Among the combined hormonal contraceptives ⁠— the pill, patch, and ring ⁠— only 50% of people are still using them after a year, despite all efforts to improve compliance and reduce side effects. In contrast, over 80% of people are still using long-acting and reversible IUDs a year later.

IUD

Part 2: Minimizing the pain of the IUD insertion: all effort required

By Dr. Roberto Leon on July 12, 2016

Up until recently, pain management with IUDs (intrauterine devices) insertion was not commonly performed, as most users were multiparous women and the insertion was reasonably straightforward. However, because the IUDs provide unsurpassed protection against a pregnancy along with many other advantages, its acceptance is dramatically increasing, especially in nulliparous women and adolescents.

IUD

Part 1: Who should be offered an IUD, and selection of the appropriate IUD

By Dr. Roberto Leon on April 27, 2016

Intrauterine devices (IUDs) are a safe, very effective, rapidly reversible and highly acceptable contraception amongst women. Yet it is resisted by many physicians. A recent study in Seattle (1) found that half or fewer of the physicians sampled do not follow the recommended guidelines, advising against using an IUD to nulliparous women, 20 years old or less, or women with a prior history of STI, PID or ectopic pregnancy.

The Intra-Uterine Device

By Dr. Roey Malleson on September 20, 2010

IUDs provide long term reversible birth control, rivaling tubal sterilization in contraceptive efficacy. They are associated with few complications, have excellent adherence records and are very cost effective.


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