Contraception
Toolkit

About
Back

Switching Contraception

About
TO


Back

Missed Contraception

About

About

About

DISCLAIMER:


The information provided is not meant to be a substitute for professional advice and is not to be used for medical treatment. Extensive effort has been exerted to make this software as accurate as possible. However, the accuracy and completeness of the information provided by this software cannot be gaurenteed. This software is to be used as a guide only, and health care professionals should use sound clinical judgement and individualize therapy to each specific patient care situation. All information must be confirmed before clinical use or diagnostic purposes by qualified medical professionals. The authors make no claims whatsoever, expressed or implied, about the authenticity, accuracy, reliability, completeness or timeliness of the material, software, text, graphics and links given.


IN NO EVENT SHALL THE AUTHORS BE LIABLE TO ANY PARTY FOR DIRECT, INDIRECT, SPECIAL, INCIDENTAL, OR CONSEQUENTIAL DAMAGES, INCLUDING LOST PROFITS, ARISING OUT OF THE USE OF THIS SOFTWARE AND ITS DOCUMENTATION, EVEN IF THE AUTHORS HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGE.


THE AUTHORS SPECIFICALLY DISCLAIM ANY WARRANTIES INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE SOFTWARE PROVIDED HEREUNDER IS ON AN "AS IS" BASIS, AND THE AUTHORS HAVE NO OBLIGATIONS TO PROVIDE MAINTENANCE, SUPPORT, UPDATES, ENHANCEMENTS, OR MODIFICATIONS.

Back

Combined Oral Contraceptive

About
Back

Combined Oral Contraceptive

About

Delayed < 24 hours

Take pill ASAP. Continue taking one pill daily as prescribed until the end of the pack.
Back

Combined Oral Contraceptive

About
Back

Combined Oral Contraceptive

About
Back

Combined Oral Contraceptive

About
Back

Combined Oral Contraceptive

About

Missed >= 1 Pill in Week 1

Take 1 pill ASAP. Continue taing one pill daily as prescribed until end of pack

Use back up contraception for 7 days. May consider emergency contraception if unprotected intercourse in the last 5 days

Back

Combined Oral Contraceptive

About

Missed < 3 pills in week 2 or 3

Take 1 pill ASAP. Continue taking one pill daily as prescribed until the end of the pack of active pills. Discard placebo pills and start a new pack of pills without a hormone-free interval.

Back

Combined Oral Contraceptive

About

Missed >= 3 pills in week 2 or 3

Take 1 pill ASAP. Continue taking one pill daily as prescribed until the end of the pack of active pills. Discard placebo pills and start a new pack of pills without a hormone free interval.

Use back up contraception for 7 days. Consider emergency contraception if this is a repeated or prolonged omission.

Back

Progestin-only Pill

About
Back

Progestin-only Pill

About
Back

Progestin-only Pill

About

Unprotected intercourse in the past 5 days after missing progestin-only pill

Take 1 pill the next day and continue taking one pill daily as prescribed, at the same hour.

Use backup contraception for 48 hours. Emergency contraception recommeneded.

Back

Progestin-only Pill

About

No unprotected intercourse in the past 5 days after missing progestin-only pill

Take 1 pill ASAP and continue taking one pill daily as prescribed, at the same hour.

Use back up contraception for 48 hours.

Back

Contraceptive Patch

About
Back

Contraceptive Patch

About

Contraceptive patch detached for < 24 hours

Reapply the patch or replace with a new patch ASAP. The patch change day remains the same. Complete a cycle of 3 patches.

Back

Contraceptive Patch

About
Back

Contraceptive Patch

About
Back

Contraceptive Patch

About
Back

Contraceptive Patch

About
Back

Contraceptive Patch

About

Use extended to 7-9 days in any week

Patch has remained effective. Apply new patch ASAP and keep the same patch change day.

Back

Contraceptive Patch

About
Back

Contraceptive Patch

About
Back

Contraceptive Patch

About

Detached >= 24 hours or patient unsure in week 1

Apply a new patch ASAP. Keep the same patch change day. Complete a cycle of 3 patches.

Back up contraception for 7 days. Consider emergency contraception if unprotected intercourse in past 5 days

Back

Contraceptive Patch

About

Detached < 72 hours during week 2 or 3

Apply a new patch ASAP. Keep the same patch change day. Finish the cycle of patches and start a new ccle of 3 patches without a hormone-free interval.

Back

Contraceptive Patch

About

Detached > 72 hours during week 2 or 3

Apply a new patch ASAP. Keep the same patch change day. Finish the cycle of patches and start a new cycle of 3 patches without a hormone-free interval.

Backup contraception for 7 days. Consider emergency contraception if repeated or prolonged omission.

Back

Contraceptive Patch

About

Use extended to 9-12 days during week 1 or 2

Apply a new patch. Keep the same patch change day. Continue a new cycle of 3 patches without a hormone-free interval.

Back

Contraceptive Patch

About

Use extended to 9-12 days during week 3

This falls into the hormone-free week period. Remove existing patch and keep the same patch-change day.

Back

Contraceptive Patch

About

Use extended to > 12 days during week 1 or 2

Apply a new patch. Keep the same patch change day. Continue a new cycle of 3 patches without a hormone-free interval.

Use backup contraception for 7 days. Consider emergency contraception if unprotected intercourse in past 5 days.

Back

Contraceptive Patch

About

Use extended to > 12 days during week 3

This falls into the hormone-free week period. Remove existing patch and keep the same patch-change day.

Back

Contraceptive Ring

About
Back

Contraceptive Ring

About

Removal of contraceptive ring <= 3 hours

Insert the ring as soon as possible. Keep it in until scheduled ring removal day.

Back

Contraceptive Ring

About
Back

Contraceptive Ring

About
Back

Contraceptive Ring

About
Back

Contraceptive Ring

About
Back

Contraceptive Ring

About

Contraceptive ring left in 28-35 days

Ring has maintained effective hormone level. Insert a new ring ASAP and omit the hormone-free interval. Keep ring inserted until the scheduled removal day.

Back

Contraceptive Ring

About

Contraceptive ring left in > 35 days

Insert a new ring ASAP and omit the hormone-free interval. Keep ring inserted until the scheduled removal day.

Use back-up contraception for 7 days.

Consider emergency contraception if unprotected intercourse within the last 5 days.

Back

Contraceptive Ring

About

Contraceptive ring removal > 3 hours or patient unsure during week 1

Insert the ring ASAP. Keep ring inserted until the scheduled removal day.

Use back-up contraception for 7 days.

Consider emergency contraception if unprotected intercourse within the last 5 days.

Back

Contraceptive Ring

About

Contraceptive ring delayed insertion < 72 hours in week 2 or 3

Insert the ring ASAP. Keep ring inserted until the scheduled removal day.

Start a new cycle with a new ring without a hormone free interval.

Back

Contraceptive Ring

About

Contraceptive ring delayed insertion >= 72 hours in week 2 or 3

Insert the ring ASAP. Keep ring inserted until the scheduled removal day.

Start a new cycle with a new ring without a hormone free interval.

Use back-up contraception for 7 days.

Consider emergency contraception if repeated or prolonged omission.

Back

Contraceptive Injection

About
Back

Contraceptive Injection

About

Last injection given 13 to < 14 weeks

Give next injection ASAP.

Back

Contraceptive Injection

About
Back

Contraceptive Injection

About
Back

Contraceptive Injection

About

Last injection given > 14 days ago without unprotected intercourse in last 14 days

If bHCG is negative give next injection ASAP.

Use back-up contraception for 7 days.

Back

Contraceptive Injection

About

Last injection given > 14 weeks ago with unprotected intercourse in last 5 days (bHCG negative)

Give next injection and emergency contraception ASAP.

Use back-up contraception for 7 days.

Repeat bhcg in 3 weeks to ensure unintended pregnancy is not missed.

Back

Contraceptive Injection

About

Last injection given > 14 weeks ago with unprotected intercourse more than 5 days ago (bHCG negative)

Give next injection ASAP.

Use back-up contraception for 7 days.

Repeat bhcg in 3 weeks to ensure unintended pregnancy is not missed.

1b
Back

Side-effect Management

About
Back

Combined Hormonal Contraception

About
Back

Progesterone-IUD

About
Back

Copper-IUD

About
Back

Menorrhagia

About

Menorrhagia with Copper IUD

Back

DMPA

About
Back

Spotting

About

Spotting while on Combined Hormonal Contraception

Back

Acne

About

Acne while on Combined Hormonal Contraception

Back

Mood Disturbance

About

Mood Disturbance while on Combined Hormonal Contraception

Back

Breast Tenderness

About

Breast Tenderness while on Combined Hormonal Contraception

Back

Nausea

About

Nausea while on Combined Hormonal Contraception

Back

Weight Gain

About

Weight Gain while on Combined Hormonal Contraception

Back

Decreased Libido

About

Decreased Libido while on Combined Hormonal Contraception

Back

Decreased Libido

About

Spotting with a Progesterone-IUD

Back

Prolonged Bleeding

About

Prolonged Bleeding with a Progesterone-IUD

Back

Partner Able to Feel String

About

Partner Able to Feel String with a Progesterone-IUD

Back

Spotting/Prolonged Bleeding

About

Spotting/Prolonged Bleeding with DMPA

Back

Weight Gain

About

Weight Gain with DMPA

Back

Return to Fertility

About

Return to Fertility with DMPA