Tag: Contraception

In this DIALS, recorded on November 21st, 2024, CDC representatives Kate Curtis, PhD and Antoinette Nguyen, MD, MPH discuss the 2024 updates to the U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR), which provides guidance on how to use contraceptive methods safely and effectively once they are deemed to be medically appropriate.

In this DIALS, recorded on October 24th, 2024, CDC representatives Kate Curtis, PhD and Antoinette Nguyen, MD, MPH discuss the 2024 updates to the U.S. Medical Eligibility Criteria for Contraceptive Use (U.S. MEC), which provides recommendations on safe use of contraceptive methods for women with various medical conditions and other characteristics.

This job aid assists the clinical provider with contraceptive considerations for transgender, nonbinary, and gender diverse (TNGD) patients assigned female at birth (AFAB). Special considerations are given for contraception for people on concurrent testosterone use, potential side effects, and menstrual suppression. Contraceptive methods are listed according to menstrual suppression, possibility of spotting/bleeding, cramping, breast tissue tenderness, and self-disclosure.

This client information resource includes questions commonly asked by clients considering a vasectomy. Health centers can reproduce this resource. The document can be printed and made into a tri-fold brochure.

Title X agencies should have all patient-facing materials, such as the handout above, reviewed and adapted by their Informational & Educational (I&E) Advisory Committee. Learn more about I&E Materials Review.

This toolkit is intended to be a resource for Title X and other sexual and reproductive health care providers offering vasectomy services.

This start-up guide is designed to support Title X providers as they consider implementing vasectomy services in their health centers. The guide includes key considerations and a cost estimate.

The CTC-SRH speaks with one of the keynote speakers for the upcoming National Reproductive Health Conference, Dr. Raegan McDonald-Mosley, CEO of Power To Decide, about contraceptive access and equity in the US today.

In this DIALS, recorded on August 15th, 2024, Denise Raybon gives an overview of the new Vasectomy Toolkit resource from CTC-SRH. Dr. Grace Shih and Dr. Joshua Yap answered questions about implementation of vasectomy services.

This job aid discusses client barriers to compliance using traditional Post-Vasectomy Semen Analysis (PVSA) with a fresh sample. It offers a summary of research findings on the use of mail-in PVSA. The resource also offers a sample mail-in PVSA protocol.

These vasectomy service templates are intended to assist sexual and reproductive health/family planning providers develop or update local, service site-specific protocols for:

• Pre-Operative Vasectomy Services
• Vasectomy Surgical Procedure
• Post Vasectomy Semen Analysis (PVSA)

Instructions are provided within the template so local agencies can fully customize their organization's protocol. Local agencies should only include information that reflects their own organization’s current practices.

The CTC-SRH speaks with Dr. Rachel McKean, a Complex Family Planning Fellow at Penn Medicine and one of the presenters for the upcoming National Reproductive Health Conference, about providing pain management during IUD insertions and other gynecological procedures performed in office settings.

Learning Labs address specific topics of interest for providers who are new to Title X. This session was recorded on July 16, 2024.

This training aims to enhance the confidence and competency of healthcare professionals in the safe prescribing of hormonal and non-hormonal contraceptive methods, as well as using fertility awareness-based methods. The training includes a comprehensive review of the benefits and potential side effects, enabling new clinicians and their support staff to feel comfortable providing effective contraceptive services within the Title X setting.

Participants will be able to:

• Discuss the effectiveness of contraceptive methods
• List the 3 categories of contraceptive methods
• Apply the US MEC and SPR for safe prescribing practices and initiation of each method
• Apply strategies to provide client-centered contraceptive care in their practice

Before watching the Learning Lab, participants should complete pre-work which includes reviewing the following links & downloading the free CDC Contraception app.

Pre-work:

US MEC and SPR from the CDC

Providing Intrauterine Contraception from CTC-SRH

Contraception mobile app from CDC

This job aid demonstrates a tray set up for the provision of vasectomy services.

This algorithm assists providers in accurately determining pregnancy status before prescribing contraception. Grounded in the U.S. Medical Eligibility Criteria for Contraceptive Use (US MEC), this job aid ensures thorough assessment for patient safety. By following this methodical approach, providers can confidently prescribe contraception, prioritizing patient well-being and contraception effectiveness.

In this DIALS, recorded on 11/27/23, Dr. David Turok and Dr. Hilary Reno discussed emerging research that supports emergency contraception and post-exposure prophylaxis for sexually transmitted infections, including HIV. Studies have shown that PEP and EC are appropriate for prophylaxis following unprotected intercourse. Additionally, doxy PEP shows promise as a preventive measure for gonorrhea, chlamydia, and syphilis.

This DIALS, recorded on 11/1/2023, featured Dr. Angeline Ti and Dr. Lauren Thaxton. It provides an overview of the research that supports extended use for most methods of long-acting reversible contraception (LARC) available in the U.S., followed by a discussion about techniques for client-led education and counseling for potential extended use LARC.

This toolkit consists of a collection of evidence-based resources related to Subcutaneous Depot Medroxyprogesterone Acetate, or DMPA-SC. It is available below as an interactive toolkit hosted on our website. You may also download a pdf or word doc version. This toolkit was originally released 10/21/2021 and was updated on 10/12/2023.

In the latest installment of the ongoing series, Coding with Ann, Ann Finn, of Ann Finn LLC, discusses updated guidance on common LARC miscodes with the CTC-SRH.

This virtual coffee break was created by the Clinical Training Center for Sexual and Reproductive Health to review best practices for the evaluation and management of difficult placements and removals of intrauterine contraception (IUC) devices.

After completing this activity, participants will be able to:

• Describe best practices for managing difficult IUC placements and removals.
• Identify clinical scenarios that may impact IUC placement.
• Discuss potential risks to clients related to difficult IUC placements.
• List steps to manage IUC removals when device strings are not visible.

This e-learning activity is part of a series on Providing Intrauterine Contraception.

Continuing education credits (0.25 CNE) are available for this activity. To obtain continuing education credits, participants must register for the course, complete course content, and successfully pass a quiz for this activity. For further information and/or to register, visit www.HealthEKnowledge.org. The 'view now' option allows participants to take the e-learning without registering but CE will not be awarded.

The CTC-SRH talks with Anitra Beasley, MD, MPH, about the FDA's recent decision to approve OPill to be the first hormonal contraceptive pill to be available over-the-counter.

This Virtual Coffee Break covers best practices for the evaluation and management of pain and bleeding during Intrauterine Contraception (IUC) use.

After completing this activity, participants will be able to:

• Describe potential bleeding irregularities and variations during IUC use.
• Describe best practices for the treatment of bleeding during IUC use.
• Identify effective approaches to ease client pain during and after IUC placement.
• Discuss anticipatory counseling for clients to enhance understanding of IUC use.

This e-learning activity is part of a series on Providing Intrauterine Contraception.

Continuing education credits (0.25 CNE) are available for this activity. To obtain continuing education credits, participants must register for the course, complete course content, and successfully pass a quiz for this activity. For further information and/or to register, visit www.HealthEKnowledge.org. The 'view now' option allows participants to take the e-learning without registering but CE will not be awarded.

This set of case studies will introduce you to scenarios you may encounter in providing inclusive family planning services. These cases studies are a supplement to the Clinician Café on Supportive and Inclusive Services for Trans and GNC Clients.

These Intrauterine Contraception (IUC) Algorithms can be used by providers for reference when IUC is the preferred method of contraception by clients.

This protocol template is written with several decision points that must be addressed before the protocol is ready for use. Local agencies can use this protocol template to tailor content to their own organization. Decision points are identified as ‘NOTE‘ in the template protocol. Local agencies should only include information that reflects their own organization’s current practices.

This job aid provides concise information for providers about depomedroxyprogesterone acetate (DMPA) as a home or self-administered option.

This depomedroxyprogesterone acetate administration calendar can be used by providers, health care organizations and/or patients to track date ranges to ensure effectiveness of the method.

Spanish translation is available courtesy of the Virginia Department of Health.

This job aid provides language for presenting self-administration of subcutaneous depomedroxyprogesterone acetate (DMPA SC) as an option for those who desire DMPA and less trips to the clinical setting.

This Virtual Coffee Break offers strategies and resources to support client care, scheduling, inventory, billing, and coding for Intrauterine Contraception (IUC) services.

After completing this activity, participants will be able to:

• Identify considerations and workflow for providing IUC services
• Describe the process for scheduling clients for IUC services
• Describe how inventory is critical for same-visit placement
• Discuss processes for ensuring that IUC insertion kits and supplies are always stocked in the clinic
• Identify best practices for billing and coding for IUC services

This e-learning activity is part of a series on Providing Intrauterine Contraception.

Continuing education credits (0.25 CNE) are available for this activity. To obtain continuing education credits, participants must register for the course, complete course content, and successfully pass a quiz for this activity. For further information and/or to register, visit www.HealthEKnowledge.org. The 'view now' option allows participants to take the e-learning without registering but CE will not be awarded.

The NCTFP talks with Dr. Krystale Littlejohn, sociologist and author of the book Just Get on the Pill, about how pregnancy prevention is seen as gendered and how this creates an uneven burden on women.

In episode 21 of the NCTCFP's popular Coding with Ann series, Ann Finn, of Ann Finn LLC, provides updated guidance common codes used when billing for IUDs and IUD-related services.

This protocol template is written with several decision points that must be addressed before the protocol is ready for use. Local agencies can use this protocol template to tailor content to their own organization. Decision points are identified as ‘NOTE‘ in the template protocol. Local agencies should only include information that reflects their own organization’s current practices.

This protocol template is written with several decision points that must be addressed before the protocol is ready for use. Local agencies can use this protocol template to tailor content to their own organization. Decision points are identified as ‘NOTE‘ in the template protocol. Local agencies should only include information that reflects their own organization’s current practices.

This protocol template is written with several decision points that must be addressed before the protocol is ready for use. Local agencies can use this protocol template to tailor content to their own organization. Decision points are identified as ‘NOTE‘ in the template protocol. Local agencies should only include information that reflects their own organization’s current practices.

The NCTCFP talks with Dr. David Turok, Associate Professor of Obstetrics and Gynecology and Chief of the Division of Family Planning at the University of Utah School of Medicine, to discuss current challenges around accessing emergency contraception in the US.

In episode 19 of the NCTCFP's popular Coding with Ann series, Ann Finn, of Ann Finn LLC, provides updated guidance on ICD-10 billing and coding for common contraceptive visits.

This Virtual Coffee Break e-learning is intended for Title X clinical providers, pharmacists, nurses, and other staff who provide contraception counseling and administration. This brief learning opportunity will prepare participants to confidently discuss the types of intrauterine contraception (IUC) and their mechanisms of action, identify criteria for patient use, and describe the efficacy and duration of use for each.

After completing this activity, participants will be able to:

1. Define the methods of intrauterine contraception (IUC)
2. Discuss the mechanisms of action for each type of IUC
3. Describe the nomenclature for intrauterine devices, including brand names
4. Identify FDA-approved duration of use for each type of IUC
5. List the criteria for candidate selection

This e-learning activity is part of a series on Providing Intrauterine Contraception.

Continuing education credits (0.25 CNE) are available for this activity. To obtain continuing education credits, participants must register for the course, complete course content, and successfully pass a quiz for this activity. For further information and/or to register, visit www.HealthEKnowledge.org. The 'view now' option allows participants to take the e-learning without registering but CE will not be awarded.

This DIALS, recorded on 11/17/2022 with guest Anne Moore, DNP, WHNP/ANP-BC, FAANP, focused on understanding and supporting client use of the combined oral contraceptive (COC) Nextstellis®

This video was created by NCTCFP to enhance providers’ understanding of emergency contraceptive pills and their mechanism of action. After watching this video, you will be able to:

1. Define emergency contraception.
2. Describe the hormonal processes responsible for the menstrual cycle, including the cyclic ovarian physiologic response.
3. Discuss the way that oral emergency contraceptive agents block or delay ovulation.
4. Counsel clients about oral emergency contraceptive use and their choices

This DIALS, recorded on 9/22/2022 with guest Dr. Lynae Brayboy, provides an overview of the Clue app, including effectiveness in pregnancy prevention, achieving pregnancy, cycle tracking, and patient education.

In this episode, Ann Finn joins the NCTCFP to walk through the latest best practices for billing and coding related to implant contraception.

This DIALS, recorded on 6/23/2022 with guest Brandi Howard, provides an overview of Phexxi vaginal gel, including effectiveness in pregnancy prevention, user satisfaction, and other characteristics. Phexxi for STI prevention is also discussed.

This palm card provides common codes for contraceptive management visits, including ICD-10 diagnosis and procedure/supply codes. Contraceptive types include IUDs, Implant, Oral Contraceptive Pills, DMPA, Emergency Contraception, Patch, FABM, Vaginal Ring, and general family planning counseling.

This DIALS, recorded on 4/21/2022 with guest Dr. Jack Pearson of Natural Cycles provides an overview of the science behind the fertility awareness based method and the efficacy of the Natural Cycles App. Dr. Pearson demonstrates how clients may use the app to either plan or prevent a pregnancy.

This palm card is intended for staff who provide setup for intrauterine contraception (IUC) procedures.

This chart compares characteristics of estrogen and progestin components, including route of administration, pharmacologic effects, effect on lipid profile, androgenicity, and side effects.

This DIALS, recorded on 1/18/2022 with guest Dr. David Turok, covers the provision of emergency contraception.

This self-paced eLearning course on Fertility Awareness Based Methods (FABMs) presents the science that supports FABMs, describes each method (including the FDA-cleared mobile apps), and explains how to follow a client-centered counseling protocol to offer these methods of family planning to clients during a family planning visit. Job aids and patient education materials are included with this course and may be downloaded.

After completion of this course, participants will be able to:

1. Identify the guiding principles for fertility awareness-based method use.
2. Explain the menstrual cycle, including the cyclic and observable biomarkers or fertility indicators associated with hormonal fluctuations.
3. Describe strategies people can use to monitor biomarkers of fertility.
4. Apply client-centered counseling strategies to educate clients about fertility awareness-based methods.

1.25 continuing education credits (CNE, CME, CHES, and CPH) are available for this activity. To obtain continuing education credits, participants must register and successfully pass a quiz for this activity. For further information and/or to register, visit www.HealthEKnowledge.org.

Implementing Quality Family Planning, or IQFP, provides clinic staff with the knowledge and skills they need to engage with family planning clients, apply client-centered care, and share evidence-based information on a wide range of contraceptive methods.

The IQFP Toolkits are comprehensive curricula to be used by facilitators familiar with the QFP guidelines to train clinical staff or prescribers.

IQFP Curriculum (Standard) is for experienced staff or clinicians to train non-prescribing staff, including registered nurses and health educators. The IQFP Curriculum consists of two modules: (1) Contraception Overview and (2) Client-Centered Counseling in the Family Planning Setting

IQFP-RX Curriculum (IQFP For Prescribers) is for experienced clinicians to train other clinicians and includes additional in-depth information on prescribing and management. The IQFP-RX Curriculum consists of three modules: (1) Contraception Overview (2) Client-Centered Counseling in the Family Planning Setting (3) Advanced Contraception

The Toolkit Tour below gives an introduction to the Implementing Quality Family Planning (IQFP) Curriculum, a walkthrough of the toolkits, and information on how to customize your training using the toolkits.

In this episode, Ann Finn will review ICD-10 codes for different birth control methods in under 10 minutes. This podcast series assists family planning providers with appropriate and timely reimbursement.