Research from the Field

Pazol K, Whiteman MK, Folger SG, Kourtis AP, Marchbanks PA, Jamieson DJ (2015). Sporadic Contraceptive Use and Non-Use: Age-Specific Prevalence and Associated Factors.American Journal of Obstetrics and Gynecology,212(3), 324.e1–324.e8.

Pazol, et al. conducted a study reviewing 2006-2010 National Survey of Family Growth data to identify age-group trends in consistent and sporadic contraceptive use. Results showed a decrease in contraceptive use across age groups. Researchers also found that, while adolescents represented the group with the highest rate of consistent contraceptive use, they were more likely to rely on methods such as condoms and oral contraceptive, which have higher failure rates. Pazol, et al. recommend addressing sporadic contraceptive use by acknowledging reproductive plan distinctions across different age groups. These findings highlight the importance of offering age-appropriate contraceptive counseling that takes into consideration different stages of development, as well as shifts in pregnancy intention through adulthood.

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Trussell J, Hassan F, Lowin J, Law A, Filonenko A (2015). Achieving cost-neutrality with long-acting reversible contraceptive methods. Contraception,91(1), 49–56.

Trussell et al. conducted a 5-year analysis of the cost of long-acting reversible contraception (LARC) and short-term contraceptive methods, such as oral contraceptive, vaginal rings, contraceptive patches, and injections. The analysis showed that, even when LARC methods were not used for the duration of their efficacy, the cost of LARC methods were lower compared to the cost of extended use of short-term contraceptive methods. Trussell, et al. suggest that, even within 3 years of use, LARC methods are more cost-effective to women than short-term methods. The findings of this analysis suggest an added benefit of LARC use for women seeking a cost-effective method. In addition, the authors suggest that LARC can be a sound investment in pregnancy prevention, even when the method is used for a shorter duration.

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Unger CA (2014) Care of the transgender patient: the role of the gynecologist. American Journal of Obstetrics & Gynecology, 210(1), 16 – 26.

Unger addresses the unique needs of transgender clients and examines the barriers to care that individuals in this population experience. The article reviews healthcare maintenance recommendations, common barriers to care, and the role that gynecologists play in providing care to transgender clients. Unger concludes that, due to a history of marginalization and stigma, it is critical for sexual and reproductive healthcare providers to be familiar with guidelines for providing care to transgender clients. This article highlights the need to identify and meet the needs of transgender clients, as well as reassess how reproductive healthcare services can be provided in a way that is more inclusive of individuals of transgender experience.

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