Jan 19
Evaluation of the Miscarriage Care Initiative: A Program to Integrate Comprehensive Early Pregnancy Loss Management in Primary Care Settings
This publication explores an evaluation of RHAP’s Miscarriage Care Initiative.
Blog
Jan 08
Progestin Implant Aftercare Instructions
Aftercare instructions to use with patients having an progestin implant inserted.
Jan 06
Progestin Implant Fact Sheet
This fact sheet describes how the progestin implant (Nexplanon) is inserted, its efficacy, common side effects and average cost.
Dec 15
Contraceptive Pearl: IUD and Uterine Abnormalities
Providers may wonder whether or not uterine abnormalities, like fibroids, cervical stenosis, or congenital anomalies would preclude IUD use. For questions like this, the US Medical Eligibility Criteria (US MEC), published by the CDC, is a good resource to turn to. Uterine Fibroids: Category 2-A condition for which the advantages of using the method generally…
Nov 17
Contraceptive Pearl: Contraception and Dysmenorrhea
Dysmenorrhea causes distress and missed days of school/work for millions of people. What’s the best way to treat it? All hormonal contraceptives can help. The pill, patch, ring, implant, injection, and progestin IUD have evidence for benefit. Continuous use of the pill/patch/ring may provide extra help. The copper IUD, on the other hand, may worsen…
Oct 20
Contraceptive Pearl: Updating Our Contraceptive Materials
RHAP has embarked on an update of our contraceptive materials. We aim to ensure our materials reflect the latest, best clinical evidence and align our with our core values, in particular patient-centered care. We started with our most general and widely used contraceptive fact sheet, which includes all birth control methods. The old versions organized methods by their…
Sep 15
Contraceptive Pearl: Contraception During COVID-19: Acidifying Contraceptive Gel
In May, 2020, the FDA approved a new contraceptive gel containing lactic acid, citric acid, and potassium bitartrate. The brand name is Phexxi. The gel acidifies the vagina, creating an environment that’s hostile to sperm. The gel does not contain nonoxynol 9, the active ingredient in spermicides (which can irritate the vagina and raise the…
Aug 18
Contraceptive Pearl: Contraception During COVID-19: One Year Vaginal Ring
In 2018, the FDA approved a one-year contraceptive vaginal ring. It’s a flexible silicone ring that slowly releases segesterone acetate and ethinyl estradiol. The brand name is Annovera. The label instructs patients to insert the ring for three weeks and remove it for one week, repeating the cycle a total of thirteen times before starting…
Jul 21
Contraceptive Pearl: Contraception During COVID-19: Non-Coercive Contraceptive Counseling
Coercive contraceptive practices have a long history in the United States, beginning in the era of slavery and extending to forced sterilizations as recent as 2010. Forced contraception has targeted primarily low-income, incarcerated, disabled, Indigenous, Black, and Latinx people. Knowing this horrific history, how can we adjust our contraceptive counseling to avoid any semblance bias…
Jun 18
AAFP Shared Values Worksheet
Worksheet developed in 2019 demonstrating how to build testimony around shared values.