Archives
Latebreakers

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

Perimenopause

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

Ambivalence

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

Contraceptivetechnology.com New and Improved

Reproductive health in the time of Covid-19
April 2020

 

What a difference a month makes! Disruptions in supply chains, foregoing nonessential patient appointments, potential siphoning of funds from reproductive health programs and possibly decreased access to free or subsidized family planning care are predictions that have implications for providers and patients alike during the growing outbreak of Covid-19. (Check out the links, below, for information and recommendations to guide you and the patients you serve.) The simple response to patients’ questions about having sex would be that social distancing calls for a 6-foot space between people. Of course, sex in general, even if not face-to-face, involves a lot of touch and very little if any space, and certainly not 6 feet of it. And, kissing may be one of the most effective ways to transmit Covid-19—and for that matter, influenza, rhinovirus, etc., and maybe future emerging infectious diseases.

Your patients may be more encouraged to practice temporary abstinence if they know that the benefits of sexual activity need not be completely lost when keeping a distance. After all, sex fulfills many natural desires, including those of love, pleasure, and perhaps in times like these, comfort and release. All are desires that can emerge during current extended periods of social distancing that have been recommended. (Perhaps some of your patients are described in https://www.wired.com/story/dating-apps-coronavirus-covid-19/). Inform your patients that saying ‘no’ to activities such as kissing and sexual intercourse can still mean saying ‘yes’ to other sexual activities: solo or mutual masturbation, fantasy, erotic books or sites, or toys. In fact, the Contraceptive Technology website last month featured a monthly update on “Talking about Toys”…sanitized toys, of course.

While many health care providers feel comfortable asking patients about sexual behaviors as they relate to the potential risks of pregnancy and sexually transmitted infections, far fewer speak with patients about sexual knowledge, pleasure, or satisfaction, write Jenny Higgins and Patty Cason in Contraceptive Technology. Clients report that practitioners rarely ask them about sex, despite the evidence suggesting that discussions about positive sexual experiences and satisfaction (and not merely sexual risk) yield significant benefits for patient health as well as the quality of the provider-patient relationship. Maybe now is the time to begin those discussions.

Below are a few important Covid-19 resources on reproductive health for you and for your patients:

ACOG: Novel Coronavirus 2019 (COVID-19) Practice Advisory

Guttmacher Institute: The COVID-19 Outbreak: Potential Fallout for Sexual and Reproductive Health and Rights

CDC: Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings

Bedsider: Sex in the time of coronavirus