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Initiating Hormonal Contraception.
1Mount Sinai Beth Israel, New York, NY, USA.
American Family Physician
|February 25, 2021
Summary
Most patients can start hormonal contraception anytime, regardless of their menstrual cycle. This flexible approach improves reproductive health and autonomy, removing unnecessary barriers to access.
Area of Science:
- Reproductive Health
- Contraception Management
Background:
- Initiating hormonal contraception often faces unnecessary delays.
- Patient-centered approaches are crucial for reproductive autonomy.
Purpose of the Study:
- To outline an evidence-based, flexible approach to initiating hormonal contraception.
- To identify strategies for improving patient access and adherence.
Main Methods:
- Review of current evidence and clinical guidelines for initiating hormonal contraception.
- Analysis of patient-centered care strategies and barrier reduction.
Main Results:
- Hormonal contraception can be initiated at any point in the menstrual cycle.
- Papanicolaou tests are not required before prescribing hormonal contraception.
- Immediate initiation is safe post-childbirth or pregnancy loss (with exceptions).
Conclusions:
- Flexible, patient-centered initiation of hormonal contraception enhances health and autonomy.
- Removing barriers like unnecessary waiting periods and tests improves access.
- Strategies like one-year supplies and telemedicine increase adherence and reduce costs.

