Written By: Kyla Freeman

Peer Review By: Thomsen D'hont

Expert Review By: Dr. Vanessa Rogers

Objective One: With all patients, especially adolescents, young men, postpartum women, and perimenopausal women, advise about adequate contraception when opportunities arise.

Objective Two: In patients using specific contraceptives, advise of specific factors that may reduce efficacy (e.g. delayed initiation of method, illness, medications, specific lubricants)

Objective Three: In aiding decision-making to ensure adequate contraception: - Look for and identify risks (relative and absolute contraindications) - Assess (look for) STI exposure - Identify barriers to specific methods (e.g. cost, cultural concerns) - Advise of efficacy and side effects, especially short-term side effects that may result in discontinuation

Objective Four: In patients using hormonal contraceptives, manage side effects appropriately (i.e. recommend an appropriate length of trial, discuss estrogens in medroxyprogesterone acetate [Depo-Provera].

Objective Five: In all patients, especially those using barrier methods or when efficacy of hormonal methods is decreased, advise about post-coital contraception

Objective Six: In a patient who has had unprotected sex or failure of the chosen contraceptive method, inform about time limits in post-coital contraception (emergency contraceptive pil, intrauterine device)