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Contraceptive Technology Update

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  • Plan B seeks OTC status for women ages 16-plus

    The emergency contraceptive (EC) Plan B may be available over the counter (OTC) to women ages 16 and older if the Food and Drug Administration (FDA) approves Pomona, NY-based Barr Pharmaceuticals revised request for OTC status.
  • Ask the Experts: Answers to questions on IUS use, OC interactions

    Can women who are breast-feeding use a levonorgestrel intrauterine system? What is the impact of fluconazole (Diflucan, Pfizer; New York City), an oral medication used to treat vaginal yeast infections, on oral contraceptive (OC) efficacy?
  • Spray-on birth control: New application eyed

    Women now rely on contraception in such new forms as a transdermal patch and a vaginal ring. In fact, about 75% of readers participating in the 2003 Contraceptive Technology Update Contraception Survey say their facilities are offering these birth control options. What if women could get reliable birth control from a spray-on application to the skin?
  • FDA panel gives nod to adding folic acid to OC

    A pill designed to prevent unintended pregnancy and birth defects is moving closer to commercial reality following a Food and Drug Administration (FDA) advisory committees unanimous vote to back such a combination product.
  • Lower-dose injectable contraceptive moves through research pipeline

    As you check the chart of your next patient, you note she is scheduled for her quarterly injection of depot medroxyprogesterone acetate (DMPA, Depo-Provera; Pfizer, New York City). While she is on time for this shot, she was late for two such appointments in the previous year. What if there was a contraceptive injection that your patients could be instructed to use in self-injection?
  • Check new advances in natural family planning

    Review the contraceptive options you currently discuss with your female patients. Where does natural family planning enter into the conversation? You may want to include a discussion of the Standard Days Method (SDM). Defined as a fertility-awareness-based method, the SDM is appropriate for women with regular menstrual cycles between 26 and 32 days long. It identifies days 8-19 of the menstrual cycle as the fertile window the days when pregnancy is very likely.
  • Research eyes IUS use for menstrual bleeding

    Many women may experience excessive menstrual bleeding, but for those with extreme menstrual bleeding (menorrhagia), such blood loss often interferes with daily activities and can lead to anemia. Defined as total menstrual blood loss of more than 80 ml/cycle, menorrhagia affects 15%-20% of American women.As a clinician, you may opt to treat menorrhagia with nonsteroidal anti-inflammatory drugs, progestins, or oral contraceptives. However, if these approaches prove ineffective, women may seek endometrial resection or ablation or undergo a hysterectomy
  • EC provision doesn’t boost unprotected sex in teens

    Does advance access to emergency contraception (EC) in adolescents lead to an increase in unprotected sex? Not according to findings from a newly published study, which indicate advance EC provision does not cause teens to have more unprotected intercourse or practice less consistent contraceptive use.
  • FDA approves HIV oral fluid-based test

    Get ready to implement new advances in your clinical setting: The Food and Drug Administration (FDA) has approved the use of oral fluid samples with a rapid HIV diagnostic test kit to provide accurate screening in as little as 20 minutes. While there are three rapid HIV testing kits now on the market, the OraQuick Rapid HIV Antibody Test is the first to get clearance for use on oral fluid samples, which bypasses the need for needlesticks or fingerpricks for blood samples.
  • Ask the Experts: Answering your questions on DMPA use and weight

    Should a woman who is obese and continues to gain weight on Depo-Provera [depot medroxyprogesterone acetate (DMPA), Pfizer, New York City] be allowed to continue its use if she so desires? Are providers contributing to the health risk of obesity by allowing a woman to do so?