Fast Five Quiz: Contraception

Michel E. Rivlin, MD; Bradley Schwartz, DO


November 21, 2019

According to CDC guidelines, if progestin-only pills are started within the first 5 days since menstrual bleeding started, no additional contraceptive protection is needed. If progestin-only pills are started more than 5 days since menstrual bleeding started, women should abstain from sexual intercourse or use additional contraceptive protection for the next 2 days.

Regarding IUD insertion, although misoprostol may be helpful in some certain situations, CDC does not recommend routine use.

The CDC guidelines also state that a pelvic examination is not necessary before initiation of etonogestrel implant because the examination would not facilitate detection of conditions with which implant use is unsafe. Obese women are able to use these implants, so screening for obesity is not necessary.

CDC advises that women who are breastfeeding should not use combined hormonal contraceptives during the first 3 weeks after delivery because of concerns about an increased risk for venous thromboembolism. CDC also states that women who are breastfeeding should avoid combined hormonal contraceptives during the fourth week postpartum because of concerns about effects on breastfeeding performance.

Read more about contraceptive options.


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