-See HPI.
-LMP: ___
-Cycle day#:____ of a 28-day cycle.
-Pregnancy test today: Negative.
-Different methods of contraception discussed with her including benefits, risks, and side effects.
-Counseling: No contraceptive method is perfect. Patient understands that the right method of contraception is the one that meets her unique needs and which she can consistently. and accurately use.
-Her chosen method is: _____
-Backup contraception discussed.

Contraception Pearls and Links

 

Patches:
-Xulane (Norelgestromin / Ethinyl Estradiol transdermal). Patch: 150 mcg / 35 mcg per day.  Apply 1 patch qwk x 3wk, off 1 wk.
-Ortho Evra (Norelgestromin / Ethinylestradiol transdermal). Patch: 150 mcg/35 mcg per day. Apply 1 patch qwk x 3wk, off 1 wk.

 

 

 

References / Further Reading

  • https://www.cdc.gov/reproductivehealth/contraception/index.htm Last Accessed February 2018.
  • Am Fam Physician. 2015 May 1;91(9):625-633. http://www.aafp.org/afp/2015/0501/p625.html (Provision of Contraception: Key Recommendations from the CDC)
  • Am Fam Physician. 2006 Jul 1;74(1):105-112. http://www.aafp.org/afp/2006/0701/p105.html (Initiating Hormonal Contraception)
  • The difference between monophasic, biphasic, and triphasic pills.
  • http://www.nyc.gov/html/doh/downloads/pdf/ms/contra-guide.pdf
  • http://www.uptodate.com/contents/overview-of-the-use-of-estrogen-progestin-contraceptives

 

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