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U.S. selected practice recommendations for contraceptive use, 2013; adapted from the World Health Organization Selected practice recommendations for contraceptive use, 2nd edition
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  • Alternative Title:
    Selected practice recommendations for contraceptive use
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  • Description:
    Introduction -- Methods -- -- How to use this document -- Summary of changes from WHO SPR -- Contraceptive method choice -- -- Maintaining updated guidance -- -- How to be reasonably certain that a woman is not pregnant -- -- intrauterine contraception -- Implants. -- -- Injectables -- -- Combined hormonal contraceptives -- -- Progestin-only pills -- Standard days method -- Emergency contraception -- -- Female sterilization -- -- -- male sterilization. -- -- When women can stop using contraceptives -- -- Conclusion -- -- Acknowledgment -- References -- Appendix A: Summary chart of U.S. medical eligibility criteria for contraceptive use, 2010 -- -- Appendix B: When to start using specific contraceptive methods -- -- Appendix C: Examinations and tests needed before initiation of contraceptive methods -- -- Appendix D: Routine follow-up after contraceptive initiation -- -- Appendix E: Management of women with bleeding irregularities while using contraception -- -- Appendix F: Management of the IUD when a Cu-IUD or an LNG-IUD user is found to have pelvic inflammatory disease.

    The U. S. Selected Practice Recommendations for Contraceptive Use 2013 (U.S. SPR), comprises recommendations that address a select group of common, yet sometimes controversial or complex, issues regarding initiation and use of specific contraceptive methods. These recommendations are a companion document to the previously published CDC recommendations U.S. Medical Eligibility Criteria for Contraceptive Use, 2010 (U.S. MEC). U.S. MEC describes who can use various methods of contraception, whereas this report describes how contraceptive methods can be used. CDC based these U.S. SPR guidelines on the global family planning guidance provided by the World Health Organization (WHO). Although many of the recommendations are the same as those provided by WHO, they have been adapted to be more specific to U.S. practices or have been modified because of new evidence. In addition, four new topics are addressed, including the effectiveness of female sterilization, extended use of combined hormonal methods and bleeding problems, starting regular contraception after use of emergency contraception, and determining when contraception is no longer needed. The recommendations in this report are intended to serve as a source of clinical guidance for health-care providers; health-care providers should always consider the individual clinical circumstances of each person seeking family planning services. This report is not intended to be a substitute for professional medical advice for individual patients. Persons should seek advice from their health-care providers when considering family planning options.

    Includes bibliographical references p. 38-46).

  • Content Notes:
    prepared by Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion. ; Corresponding preparer: Kathryn M. Curtis, PhD, Division of Reproductive Health, CDC. ;
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