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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although vasectomy...
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Published on: January 12, 2018

Disparities in contraceptive access and provision.

Frances Casey1, Veronica Gomez-Lobo

  • 1Women and Infant Services, Medstar Washington Hospital Center, Washington, DC 20010, USA.

Seminars in Reproductive Medicine
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Summary

Expanding contraceptive coverage requires providers to assess reproductive plans and health systems to reduce barriers. Addressing these challenges ensures equitable access to effective contraception for all women.

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Published on: July 6, 2014

Area of Science:

  • Public Health
  • Reproductive Health
  • Healthcare Policy

Background:

  • The Patient Protection and Affordable Care Act has expanded contraceptive coverage.
  • Disparities in contraceptive access and provision persist despite coverage expansion.
  • Barriers to equitable contraceptive care remain a significant public health concern.

Purpose of the Study:

  • To review the challenges in providing equal access to contraceptive care.
  • To identify recommendations for improving contraceptive access and utilization.
  • To address the needs of all reproductive-age women regarding contraception.

Main Methods:

  • Literature review of challenges and recommendations.
  • Analysis of policy impacts on contraceptive access.
  • Synthesis of strategies to minimize institutional and socioeconomic barriers.

Main Results:

  • Provider assessment of reproductive life plans is crucial.
  • Health systems must actively minimize socioeconomic and institutional barriers.
  • Comprehensive strategies are needed to ensure equitable access.

Conclusions:

  • Equitable contraceptive access requires a multi-faceted approach.
  • Provider-patient discussions on reproductive life plans are essential.
  • Systemic changes are necessary to overcome barriers to effective contraception.