Patient assessment and counseling for contraceptive care

Melody Hou, Elizabeth Micks

Research output: Chapter in Book/Report/Conference proceedingChapter


Contraception for women with medical conditions is of upmost importance due to the potential impact of pregnancy on their disease state or of their disease on the pregnancy state. Appropriate contraceptive assessment, counseling, and management for these women are critical aspects of their medical care. Clinicians seeking guidance on contraceptive care may turn to the US Medical Eligibility Criteria (MEC), which are evidence-based guidelines created by the Centers for Disease Control and Prevention (CDC). In the MEC, contraceptive methods are classified using four categories based on the safety of the method when used by women with certain characteristics or medical conditions. The CDC Selected Practice Recommendations can provide guidance on how to initiate contraceptive methods and how to manage common issues that arise. Clinicians should be aware that assessing a woman for eligibility for a specific contraceptive can be done primarily by taking a detailed medical history, and that contraceptive counseling should be performed in a standardized fashion, emphasizing the most effective methods that allow a woman to meet her reproductive goals and are medically appropriate.

Original languageEnglish (US)
Title of host publicationContraception for the Medically Challenging Patient
PublisherSpringer New York
Number of pages15
ISBN (Electronic)9781493912339
ISBN (Print)9781493912322
StatePublished - Jan 1 2014

ASJC Scopus subject areas

  • Health Professions(all)
  • Medicine(all)


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