Contraception

**Medical Eligibility Guide**
based on latest CDC and WHO Guidelines (updated Jan 2012) toc Family Health International's Eligibility Guide based on WHO Guidelines

[|Quick Start Guide]
This algorithm will help decide how to start contraception the same day. It gives guidance on when to use EC and how to start contraception is the patient has recently had unprotected intercourse.

**Handouts**
Patient education and guides to choosing contraceptives
 * Reproductiveaccess.orghas an excellent collection of patient oriented handouts.
 * [|ARHP]has an extensive page with English and Spanish handouts with video.
 * [[file:ccrmc/Which_OCP_is_Best_Handout[1].pdf|Which OCP is Best Handout]]: Guide to choosing or changing an OCP
 * [|www.bedsider.org] Great Website for young folks.

IUD Clinic
Where to refer patients who need long acting contraception.

**Nexplanon/Implanon**

 * Providers: Partial List
 * Supplies needed for insertions
 * Sterile Drape
 * Sterile gloves
 * Betadine or Chlorhexadine
 * Sterile Marker
 * Anesthetic with Epinephrine
 * 27g 1 1/2 inch needle
 * 3 cc syringe
 * Bandaid or Steristrip
 * 2x2 gauze
 * Coban or Ace Bandage
 * Implanon/Nexplanon Kit
 * [|Instructions for Insertion and Removal](From Implanon.com)
 * Timing of Insertion: Recommend pregnancy test and seven days of non-hormonal contraception after insertion. No pregnancy test or backup contraception needed:
 * if insertion occurs on Day 1-5 of menses
 * if swithing from OCP and insertion occurs during 7 days of hormone free interval
 * during current use of progestin pill
 * within 5 days of 1st trimester abortion
 * upto 3-4 weeks after 2nd trimester abortion or postpartum
 * Supplies for removal
 * Sterile drape
 * Surgical marker
 * Sterile gloves
 * Betadine or Chlorhexadine
 * Anesthetic with epinephrine
 * 27g 1 1/2 inch needle
 * 3cc syringe
 * #15 scalpel
 * Curved mosquito forceps x 2
 * Ruler (contained within surgical marker)
 * Steristrip or Bandaid
 * 2x2 gauze x 2
 * Coban or Ace bandage

Mirena
Insertion Video media type="youtube" key="hlfV8tKgw6E" height="344" width="425" [ Link to a youtube video of a Mirena insertion. Will not work via county computers, but it will work on iphones].

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