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  • Print publication year: 2013
  • Online publication date: August 2013

8 - Thecontraceptive consultation

Summary

Contraceptive methods have social images or social stereotypes which may vary over time and may be strongly influenced by single events like a serious complication in a young woman. Wishes regarding the role and/or involvement of the partner vary largely. The knowledge and understanding of what the individual woman wants is an important part of contraceptive counselling. Healthcare professionals seem to be very focused on the objective characteristics of the woman seeking advice, rather than what the woman actually wants and is comfortable with. One way of assessing the subjectivity of the woman is asking, either during the dialogue in the consultation room or by using a questionnaire in the waiting room, about her expectations and experiences regarding the criteria, like efficacy, safety, side effects, relation to sexual activity, duration of action, control, cost, involvement of partner or other family members and additional health benefits.

References

1. Department of Reproductive Health, World Health Organization. Medical Eligibility Criteria for Contraceptive Use, 4th edn. Geneva, Switzerland: World Health Organization, 2009. http://whqlibdoc.who.int/publications/2010/9789241563888_eng.pdf (accessed 4 November 2011).
2. Faculty of Sexual and Reproductive Healthcare. UK Medical Eligibility Criteria for Contraceptive Use, 2009. http://www.fsrh.org/pdfs/UKMEC2009.pdf (accessed 4 November 2012).
3. Farr S, Folger SG, Paulen M, et al. US medical eligibility criteria for contraceptive use, 2010: adapted from the World Health Organization Medical Eligibility Criteria for Contraceptive Use, 4th edition. MMWR Recomm Rep 2010; 59(RR-4): 1–86.
4. Bateson D, Harvey C, McNamee K. Contraception: an Australian clinical practice handbook, 3rd edn. Brisbane: Family Planning Queensland, 2012.
5. Tepper NK, Curtis KM, Steenland MW, Marchbanks PA. Physical examination prior to initiating hormonal contraception: a systematic review. Contraception 2012.08.010 (Epub ahead of print).
6. Winner B, Peipert JF, Zhao Q, et al. Effectiveness of long-acting reversible contraception. N Engl J Med 2012; 366(21): 1998–2007.
7. Goldenring J, Rosen D. Getting into adolescent heads: an essential update. Contemp Pediatr 2004; 21: 64.
8. Baxter S, Blank L, Guillaume L, Squires H, Payne N. Views of contraceptive service delivery to young people in the UK: a systematic review and thematic synthesis. J Fam Plann Reprod Health Care 2011; 37(2): 71–84.
9. Trussell J. Contraceptive failure in the United States. Contraception 2011; 83(5): 397–404.
10. Faculty of Sexual and Reproductive Healthcare. Clinical Guidance. Quick Starting Contraception, September 2010. http://www.fsrh.org/pdfs/CEUGuidanceQuickStartingContraception.pdf (accessed 28 February 2013).