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A 26-year-old woman presents to the clinic because she is in a new heterosexual relationship and wants to discuss contraceptive options. She wants to start regular contraception. She has not used birth control in the past because she has rarely been sexually active for the last 3 years, and on those occasions, she has made sure that her male partners used condoms. She denies medical problems or taking prescription medication. She is a nonsmoker and does not use recreational drugs. Her menstrual cycles are regular every 28 days. She does not have irregular vaginal bleeding.
Contraception Methods:
Condoms with spermicide
Birth control pills
Long-acting contraceptives
IUDs
CRITICAL THINKING QUESTIONS
What methods of contraception would you discuss with this patient?
What are the major advantages, disadvantages, and effectiveness of each method?
What are the potential contraindications for each of the methods?
What workup should be done before prescribing oral contraceptives? Should a patient be given a prescription on the initial visit for this concern? What aspects need to be considered before making the decision?
A patient asks when she should start her oral contraception pills and when she will be protected from pregnancy. What would you tell her?
What issues regarding the use of long-acting contraceptives or IUDs should be addressed?

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