Contraceptive Pearl: Using Ulpristal for Emergency Contraception

Clinical Question: Can a patient use ulipristal acetate (ella) for emergency contraception more than once a menstrual cycle? Jodi K, FNP New York, NY Jodi’s patient took ulipristal for emergency contraception one week ago and had a second condom rupture six days later. The patient’s body mass index is 31, and she did not want…

Contraceptive Pearl: Birth Control Across the Gender Spectrum

This issue reviews which birth control options are best for folks of varied gender experiences, particularly for people taking gender-affirming hormones like testosterone or estrogen.

Contraceptive Pearl: When to Stop Using Contraception

Many people stop using contraception too early in their lives, due to the fact that they believe infertility happens earlier than it does. Learn more about when to stop using contraception in this Contraceptive Pearl.

Contraceptive Pearl: Internal Condom

For people who want to avoid hormonal contraceptives, consider using internal condoms. Read more about them in this Contraceptive Pearl.

Contraceptive Pearl: Vasectomy

Only a very small percentage of men in the US have had vasectomies. In this Contraceptive Pearl, learn more about them and their benefits for men who are finished with childbearing.

Contraceptive Pearl: Implicit Bias and Counseling

Implicit bias can lead clinicians to encourage certain contraceptive methods over others for particular groups of patients. This edition of the Contraceptive Pearls summarizes recent studies on implicit bias and discusses the importance of patient-centered contraceptive counseling.

Contraceptive Pearl: Nausea and oral contraception

Some people struggle with nausea related to oral contraception. Read this Contraceptive Pearl for reasons this might be happening and ways to fix this issue.

Contraceptive Pearl: Oral Contraceptives and Cancer Risk

Fear of cancer prevents many people from using birth control pills. However, contrary to popular belief, oral contraceptives (OC) do not raise one’s overall risk of cancer. This Contraceptive Pearl lays out the cancer risks associated with using hormonal contraception.

Contraceptive Pearl: Postpartum IUD Insertion and Risk of Uterine Perforation

IUDs are a safe and reliable form of contraception. With proper counseling about known risks, IUDs can be offered ay any time during the postpartum period. 

Contraceptive Pearl: Promoting Contraceptive Adherence

For many reasons, some people have a low adherence rate to their hormonal contraceptives. This Contraceptive Pearl explains trials run by the Cochrane Collaborative aimed at increasing adherence rates.