These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.
1. In providing contraceptive counseling, use a shared decision-making approach that focuses on eliciting and responding to patient preferences.
Evidence rating: SORT C
Source: Clin Obstet Gynecol, reference 7
Website: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4216627
2. Before starting patients on combined hormonal contraceptive methods, obtain a blood pressure measurement. Before starting patients on other forms of short-acting reversible contraceptives (SARCs) (ie, progestin-only pills, depot medroxyprogesterone acetate [DMPA] injection) do not perform physical examinations or tests, including pelvic examination, breast examination, screening for sexually transmitted infections, cervical cancer screening, or other laboratory tests.
Evidence rating: SORT C
Source: MMWR Recomm Rep, reference 44
Website: https://www.cdc.gov/mmwr/volumes/65/rr/rr6504a1_appendix.htm#T-4-C.1_down
3. For patients starting SARCs, use the quick start method.
Evidence rating: SORT C
Source: Am Fam Physician, reference 73
Website: https://www.aafp.org/pubs/afp/issues/2021/0301/p291.html
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