Committee on Practice Bulletins—Gynecology. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology.
Long-Acting Reversible Contraception: Implants and Intrauterine Devices - ACOG
On December 7, , a cohort study analyzing the risk of invasive breast cancer in women who used hormonal contraception was published in the New England Journal of Medicine 1. The study was designed to assess the influence of hormonal contraceptive use on the development of cardiovascular disease and cancer in a national cohort of Danish women. The authors found that compared with women who never used hormonal contraception, the overall relative risk of invasive breast cancer among women who were current or recent users of any hormonal contraception was 1. Relative risk increased with duration of use, ranging from 1.
Before you get birth control pills, your doctor may want you to have a pelvic exam with a Pap test. Your doctor should get a complete medical history before giving you a prescription for birth control pills. The tests can even be harmful.
Many doctors require you go get a Pap smear in order to get a prescription for birth control pills. I used to believe that there was a good reason for this. I was wrong. Forcing women to get Pap smears to access contraception is paternalism at its worse. There is no good medical reason to require a Pap smear for contraception access.