What are the CDC practice recommendations for managing contraceptive use in the US?

Updated: Dec 10, 2018
  • Author: Frances E Casey, MD, MPH; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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Answer

Answer

In June 2013, the Centers for Disease Control and Prevention (CDC) issued selected practice recommendations for contraceptive use in the United States, covering issues such as the initiation of contraception, follow-up, and possible problems, including missed pills and unscheduled bleeding. [1] Highlights of the guidelines, which are adapted from the World Health Organization’s recommendations, include the following:

  • No laboratory testing is necessary before contraception is initiated

  • No physical examination other than a blood pressure check is needed before initiating combined hormonal contraception

  • Cervical cancer screening is not needed before intrauterine device (IUD) placement

  • IUD removal is not necessary if a woman develops pelvic inflammatory disease; antibiotic treatment is sufficient


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