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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.
A healthy, multiparous 23-year-old woman requests advice about contraception. Her last child was conceived while she was using oral contraceptives, which she took irregularly. She wants no more children and desires a highly effective and long-acting method of contraception. She is sexually active in a monogamous relationship and had been treated for gonococcal cervicitis at the age of 16 years. She has
The Clinical Problem
Strategies and Evidence
IUDs
Progestin Implants
Tubal Sterilization
Vasectomy
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Maternal and Child Health, School of Public Health, and the Department of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill (H.B.P.); and the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta (K.M.C.).
Related Letters:
Long-Acting Methods of Contraception
Greenberg J. A., Sarne D. H., Peterson H. B., Curtis K. M.
Extract |
Full Text |
PDF
N Engl J Med 2006;
354:645-646, Feb 9, 2006.
Correspondence
This article has been cited by other articles:
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