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Contraception

Contraception is a topic covered in the 5-Minute Clinical Consult.

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Basics

Description

  • Medications or procedures that control timing of pregnancies and prevent unintended pregnancies
  • Contraception options are divided into two major categories: hormonal and nonhormonal.
  • The most effective methods of contraception are vasectomy, female sterilization, and the long-acting reversible contraceptives (LARCs).

Epidemiology

Incidence
  • The estimated prevalence of contraception use among women age 15 to 44 years is 61% in the United States (1).
  • 49% of all pregnancies in the United States are unintended, and half of these occur in women using a form of reversible contraception.
  • 43% of all unintended pregnancies in the United States result in termination.
  • The most frequently used forms of contraception in the United States (in order of prevalence) are oral contraceptive pills (OCPs), female sterilization, male condom, male sterilization, and depot injectables.
  • Although LARCs are one of the most effective forms of contraception, they are among the least used methods in the United States.

Risk Factors

Unintended pregnancy: higher rates among women ages 18 to 24 and >40 years, unmarried/cohabitating women, women with less than a college education, and minority women

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Citation

Stephens, Mark B., et al., editors. "Contraception." 5-Minute Clinical Consult, 27th ed., Wolters Kluwer, 2019. Medicine Central, im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116149/all/Contraception.
Contraception. In: Stephens MB, Golding J, Baldor RA, et al, eds. 5-Minute Clinical Consult. 27th ed. Wolters Kluwer; 2019. https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116149/all/Contraception. Accessed April 25, 2019.
Contraception. (2019). In Stephens, M. B., Golding, J., Baldor, R. A., & Domino, F. J. (Eds.), 5-Minute Clinical Consult. Available from https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116149/all/Contraception
Contraception [Internet]. In: Stephens MB, Golding J, Baldor RA, Domino FJ, editors. 5-Minute Clinical Consult. Wolters Kluwer; 2019. [cited 2019 April 25]. Available from: https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116149/all/Contraception.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Contraception ID - 116149 ED - Stephens,Mark B, ED - Golding,Jeremy, ED - Baldor,Robert A, ED - Domino,Frank J, BT - 5-Minute Clinical Consult, Updating UR - https://im.unboundmedicine.com/medicine/view/5-Minute-Clinical-Consult/116149/all/Contraception PB - Wolters Kluwer ET - 27 DB - Medicine Central DP - Unbound Medicine ER -