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August 2008 · Vol. 20, No. 08

UPDATE: contraception


Fast Track

Women who used the ring were happier with the ring than with the pill. Women who used the patch, however, were happier with the pill than with the patch.

Women randomized to the patch had a serum ethinyl estradiol level 1.6 times higher than women randomized to an OC and 3.4 times higher than women randomized to the ring

The copper IUD is FDA-approved for use in nulliparous patients

IN THIS ARTICLE

Lisa  K.  Perriera,  MD

Dr. Perriera is a Clinical Fellow in Family Planning, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pa.


Mitchell  D.  Creinin,  MD

Dr. Creinin is Director of Gynecologic Specialties and Director of Family Planning, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pa.

The authors report no financial relationships relevant to this article.

We’ve heard that troubling statistic: Approximately 50% of pregnancies in the United States are unintended. But did you know that one half of those unintended pregnancies occur in women who were using some form of birth control at the time of conception?1 Such pregnancies are due to discontinuation of the method, incorrect use, or method failure.2 The focus of this article is contraceptive counseling, with special attention to:

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