At a glance
Table of contents for the 2024 U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR), which addresses a selected group of common, yet sometimes complex, issues regarding initiation and use of specific contraceptive methods.
Table of contents
- Summary for U.S. SPR, 2024
- Table of Contents
- Introduction
- Summary of Changes from the 2016 U.S. SPR
- Methods
- Keeping Guidance Up to Date
- How To Use This Document
- How To Be Reasonably Certain that a Patient Is Not Pregnant
- Testosterone Use and Risk for Pregnancy
- Intrauterine Contraception
- Initiation of Cu-IUDs
- Initiation of LNG-IUDs
- Examinations and tests needed before initiation of Cu-IUD or an LNG-IUD
- Provision of medications for IUD placement
- Provision of prophylactic antibiotics at the time of IUD placement
- Routine follow-up after IUD placement
- Bleeding irregularities with Cu-IUD use
- Bleeding irregularities (including amenorrhea) with LNG-IUD use
- Management of the IUD when a Cu-IUD or an LNG-IUD user is found to have PID
- Management of the IUD when a Cu-IUD or an LNG-IUD user is found to be pregnant
- Initiation of Cu-IUDs
- Implants
- Injectables
- Combined Hormonal Contraceptives
- Initiation of CHCs
- Examinations and tests needed before initiation of CHCs
- Number of pill packs that should be provided at initial and return visits
- Routine follow-up after CHC initiation
- Late or missed doses and side effects from CHC use
- Vomiting or severe diarrhea while using COCs
- Bleeding irregularities with extended or continuous use of CHCs
- Initiation of CHCs
- Progestin-Only Pills
- Initiation of POPs
- Examinations and tests needed before initiation of POPs
- Number of pill packs that should be provided at initial and return visits
- Routine follow-up after POP initiation
- Missed POPs
- Vomiting or severe diarrhea (for any reason or duration) that occurs within 3 hours after taking a pill
- Initiation of POPs
- Standard Days Method
- Emergency Contraception
- Permanent Contraception
- When Contraceptive Protection Is No Longer Needed
- Conclusion
- References
- Appendix A: Summary of Classifications for U.S. Medical Eligibility Criteria for Contraceptive Use, 2024
- Appendix B: When To Start Using Specific Contraceptive Methods
- Appendix C: Examinations and Tests Needed Before Initiation of Contraceptive Methods
- Appendix D: Routine Follow-Up After Contraceptive Initiation
- Appendix E: Management of Bleeding Irregularities While Using Contraception
- Appendix F: Management of Intrauterine Devices When Users Are Found To Have Pelvic Inflammatory Disease
- Acknowledgments, Contributors, and Participants