Tag: Contraception

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Algorithm: How to be Reasonably Certain that a Person is Not Pregnant

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.

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Missed Opportunity or Overkill? Post Sexual Encounter Counseling and Prophylaxis

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, DoxyPEP shows promise as a preventive measure for gonorrhea, chlamydia, and syphilis.

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How Long is Too Long? An Update on Extended Use LARC

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.

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User-Administration of Subcutaneous Depot Medroxyprogesterone Acetate (DMPA-SC)

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.

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Coding with Ann: Updates on Common LARC Miscodes

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.

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Intrauterine Contraception: Difficult Placements and Removals

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.

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An Overview of OPill

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.

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Request Technical Assistance

The CTC-SRH offers clinically focused technical assistance to build capacity in the Title X network for clinical service providers and their support staff. What is Technical Assistance? Technical assistance (TA) […]
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Intrauterine Contraception: Evaluation and Management of Pain and Bleeding

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.

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Providing Inclusive Family Planning Care to Transgender & Gender Diverse Patients: Case Studies

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.

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IUC Algorithms

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

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

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Protocol Template: DMPA SC Self-Administration

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.

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Quick Reference Guide for Prescribing and Dispensing User-Administered DMPA SC

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

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Depo Dosing Calendar

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.

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Sample Script for Staff to Assess DMPA SC Self-Administration Interest

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.

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Intrauterine Contraception: Considerations for Client Care, Scheduling, Inventory, and Billing and Coding

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.

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Multipurpose Prevention Technologies Interview

Clinical Connections interviewed Dr. Lisa Haddad, MD, MPH, Medical Director for the Center for Biomedical Research at the Population Council, about multipurpose prevention technologies, or MPTs, in recognition of National Condom Month. Dr. Haddad leads the clinical development efforts to advance the Center's sexual and reproductive health product portfolio, including novel contraceptives and multi-purpose prevention technologies.
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The Gendered Burdens of Pregnancy Prevention

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.

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Coding with Ann: Updates on Common Codes for IUD-Related Services

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.

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DIALS (Drop In Active Learning Sessions)

DIALS Overview Drop In Active Learning Sessions (DIALS) are dynamic, virtual, 60-minute educational activities developed by the CTC-SRH to offer clinicians quick and convenient learning opportunities. Developed by national subject […]
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LARC Link

What is the LARC Link Long-Acting Reversible Contraception (LARC) is a well-established umbrella term used by sexual and reproductive health providers and experts. LARC, as a term, encompasses all FDA-approved […]
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IUC Training

The CTC-SRH offers intrauterine contraceptive (IUC) training for Title X clinical services providers and other sexual and reproductive healthcare providers. We have been successfully providing IUC training since 2008, with […]
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LARC Overview

What is Long-Acting Reversible Contraception? Long-Acting Reversible Contraception (LARC) is a well-established umbrella term used by reproductive and sexual health providers and experts. LARC, as a term, encompasses all FDA-approved […]
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Protocol Template: Emergency Contraception

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.

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Protocol Template: Routine IUD Placement

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.

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Protocol Template: Implant Placement and Removal 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.

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Contact Us

About The Clinical Training Center For Sexual And Reproductive Health (CTC-SRH) Since 2006, the Clinical Training Center for Sexual and Reproductive Health (CTC-SRH) has offered evidence-based clinical training and resources […]
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Accessing Emergency Contraception

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.

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Coding with Ann: Updates on ICD-10 Codes for Common Contraceptive Visits

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.

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Intrauterine Contraception: Mechanisms of Action, Terminology, Candidates for Use, and Duration of Use

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.

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Introduction to NEXTSTELLIS

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®

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Understanding the Mechanism of Action for Emergency Contraceptive Pills

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
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Clue Birth Control App

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.

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Essential History & Physical Exam for IUC Placements

This job aid includes essential health history and physical exam considerations for intrauterine contraception (IUC) placement. Characteristics of health history, age, and parity are matched to Medical Eligibility Criteria categories to assist with shared decision making in contraceptive counseling.

This job aid includes essential health history and physical exam considerations for intrauterine contraception (IUC) placement. Characteristics of health history, age, and parity are matched to Medical Eligibility Criteria categories to assist with shared decision making in contraceptive counseling.

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Perforation: Risk Factors, Prevention, and Management

This job aid prepares clinicians on the risks factors, prevention of, and management of perforation while placing intrauterine contraception (IUC).

This job aid prepares clinicians on the risks factors, prevention of, and management of perforation while placing intrauterine contraception (IUC).

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Coding with Ann: Updated Billing and Coding Guidance for Implant Contraception

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

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Phexxi Vaginal Gel

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.

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Common Codes for Billing: Contraceptive Management Visits

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 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.

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Natural Cycles Mobile App

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.

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Physical Differences Between IUCs and Mechanism of Action

This palm card explores the physical differences between intrauterine contraception (IUC) units on one side to assist providers in identifying IUCs based on their appearance. The other side of the card compares the primary and secondary method of action of levonorgestrel and copper IUCs.

This palm card explores the physical differences between intrauterine contraception (IUC) units on one side to assist providers in identifying IUCs based on their appearance. The other side of the card compares the primary and secondary method of action of levonorgestrel and copper IUCs.

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Preparing for IUC Placement

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

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

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Contraceptive Options According to the Type of Hormone

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

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

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Emergency Contraception

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

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Fertility Awareness Based Methods of 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.

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Implementing Quality Family Planning: Training Toolkits for Staff and Prescribers

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.

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Billing and Coding for Self-Administered Subcutaneous DMPA

This new resource will help family planning providers document activities related to provision of self-administered SubQ DMPA, including ICD-10 Diagnosis Codes and Procedure Codes. Modifiers for telehealth visits are included.

This new resource, Coding and Billing Recommendations for Counseling, Education and Ongoing Monitoring of Patients Electing to use DMPA Subcutaneously (SubQ) via Self-administration, will help family planning providers document activities related to provision of self-administered SubQ DMPA, including ICD-10 Diagnosis Codes and Procedure Codes. Modifiers for telehealth visits are included.

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In Clinic: A QFP Counseling Podcast Series

Listen to this podcast for free on our website using the player above, downloading it to your computer, or stream on your phone by searching "The Family Planning Files" on […]
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Coding with Ann: ICD-10 Codes for Each Birth Control Method

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.

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Supported by the Department of Health and Human Services / Office of Population Affairs / Office of Family Planning Grant #1 FPTPA006031-01-00.

CTC-SRH is supported by the office of Population Affairs of the U.S. Department of Health and Human Services. The information presented does not necessarily represent the views of OPA, OASH, or DHHS
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