Substance use disorder: contraceptive options counseling

What’s New in Contraception?

Contraceptive Technology Conference!

Biologic sexism of STIs

Excess breast cancer deaths after COVID-19

Contraception for patients with medical conditions

Pelvic Floor Dysfunction

Treating vulvodynia

Puzzling Over the Hurt Down-Under

Serious Mental Illness and Contraception

New 13-Cycle Vaginal Contraceptive System

The Future of Family Planning in Post-COVID America

New ASCCP Guidelines: Implications for FP

On the alert: mood disorders during 2020 stressors

Sex in the Time of COVID-19

Challenges old and new during the pandemic

Reproductive health in the time of Covid-19

Talking about toys

Missed Pills: The Problem That Hasn’t Gone Away

Find the “yes! . . . and” rather than “no” or “but”

Digital Family Planning: the Future is Now

Irregular Bleeding Due to Contraceptives

When she’s low on libido…

Ouch! Best approaches to menstrual pain

Contraceptive efficacy: understanding how user and method characteristics play their part

Strategizing treatment for chronic heavy menstrual bleeding


Untangling the literature on obesity and contraception

High tech apps for no-tech FABM

Menstrual exacerbation of other medical conditions

From Princeton University: Thomas James Trussell (1949-2018)

The Short and Long of IUD Use Duration

Selecting a Method When Guidance Isn’t Clear-cut

Healthcare in the Time of Digital Expansion

The Scoop on Two New FDA-Approved Contraceptive Methods

Pregnancy of unknown location—meeting the challenge

Big “yes” (with caveats) to CHCs during perimenopause

The role of IUDs (LNG IUDs, too!) in emergency contraception

Combined pills’ effect on mood disorders

Abortion in the U.S.: safe, declining, and under threat

Hope for ovarian cancer screening test

Breast cancer still a small risk with some hormonal contraceptives

New treatment modality for BV

Record rate of HPV-related throat cancer

Viruses in semen potentially transmissible

Don’t Abstain from Your Role in Abstinence

Teens births declining but geographic ‘hotspots’ defy trend

Online Medical Abortion Service Effective and Safe

Do Women Really Need to Wait That Long?

Reassuring news on depression and OC use

PMDD: Genetic clues may lead to improved treatment

Breast cancer risk when there is a family history

Body weight link to breast and endometrial cancers (and 11 others)

Family Planning in 2017 and Beyond

Make Me Cry: Depression Link (Again)?

Managing implant users’ bleeding and spotting

Zika: Updated guidance for providers

Pharmacist-prescribed contraceptives

Hot off the press! 2016 MEC and SPR

Zika virus fears prompt increased request for abortion in nations outlawing abortions

Opioid use epidemic among reproductive-age women

Good news on the family planning home front!

War Against Planned Parenthood Hurts Women

Win-win for both treatment and prevention

Center of the Storm


Menopause, mood, mental acuity, and hormone therapy

Emergency contraception for teens

Postpartum Contraception: Now, Not Later

Reproductive tract infections, sexually transmitted infections, or sexually transmitted diseases: “a rose by any other name…”

Are we practicing what we preach?

Be alert to VTE in hormonal contraceptive users

LARC among teens increased 15-fold, but not enough

Brain cancer and hormonal contraception

Free tools: Easy access to the US Medical Eligibility Criteria for Contraceptive Use

Alcohol consumption when pregnancy is unwanted or unintended

Latest Data on Contraceptive Use in the United States

LateBreaker sampler from Contraceptive Technology conference

Emergency Contraceptive Pill Efficacy and BMI/Body Weight

Handout on Unintended Pregnancy and Contraceptive Choice

Ask About Withdrawal (Really!)

Rules to Practice By: Safety First and Cleanliness is Close to. . .

What’s Vanity Fair Got Against the NuvaRing?

Promising New Treatment for Hepatitis C

Numbers matter, so make them simple for patients

The Recession’s Effect on Unintended Pregnancies

Lessons Learned from the Contraceptive CHOICE Project: The Hull LARC Initiative

Applying the “New” Cervical Cytology Guidelines in Your Practice

Acute Excessive Uterine Bleeding: New Management Strategies

Medical indications for IUD use in teens

Whatever happened to PID?

Update on Emergency Contraception New and Improved

The Recession’s Effect on Unintended Pregnancies
April 2014


Did the worst U.S. economic recession in 70 years contribute to an increase in the rate of unintended pregnancy? In 2001, the rate of unintended pregnancies was 49 per 1,000 women aged 15 to 44, but in 2008, that rate increased to 54 per 1,000.[1] At the same time, the rate of intended pregnancies dropped, from 54 to 51.

The shift toward more unintended pregnancies was largely driven by women in their 20s and women who were poor. The twenties represent an age generally more at risk of unintended pregnancy. Following the onset of the recession, the proportion of unintended pregnancies among women age 25 to 29 climbed from 40% to 45%. The rate of unintended pregnancies rose while the rate of intended pregnancies remained stable. Among women age 20 to 24,  the proportion of unintended pregnancies also rose, but for a different reason. For these younger adults, the unintended rate remained stable while the rate of intended pregnancies shifted downward.

For poor women, below 200% of the federal poverty level, rate of unintended pregnancy was five times that for all other women. For women at 100% poverty level or below, the rate of unintended pregnancy increased from 197 to 209 per 1,000; for women at 100% to 199%, the rate increased from 145 to 152. The  unintended pregnancies among poor women were considerably more likely to result in an unintended birth in 2008 (70%) than in 2001 (63%).

According to The Guttmacher Institute, many women have altered their contraceptive use as a result of the recession.[2] While some women switch to more effective methods or plan to be more careful, other women report trying to save money by switching to a less costly method or using their current method inconsistently or with planned gaps. These behaviors are known to increase the risk of unintended pregnancy. Economic hardship correlates with increased numbers of low-income women and men attending Title X providers.[3] Unfortunately, as demand has grown, funding for Title X services has been cut in many states.

During economic declines, women tend to report being more likely to want to delay having a child. A recent report indicated that the number of births declined 8% in the five years following the onset of the recession.[4] Young women age 20 to 34 were responsible entirely for this decline, as their fertility rate dropped 12% in just three years. Whether the young families will later make up for the foregone births, or will have fewer children, remains to be determined.

–Deborah Kowal, MA, PA, President & CEO, Contraceptive Technology Communications, Inc

[1] Finer LB, Zolna MR. Shifts in intended and unintended pregnancies in the Unites States, 2001-2008.  Am J Public Health 2014;104:S43-48.

[2] Gold RB. Recession taking its toll: family planning safety net stretched tin as service demand increases. Guttmacher Policy Review 2010;13 (1).

[3] National Family Planning $ Reproductive Health Association. Title X: recession increased demand for services while shrinking funding. Factsheet 2011.

[4] Johnson KM. Deaths exceed births in record number of U.S. Counties. The Carsey Institute at the Scholars’ Repository. Paper 191.