Weight Changes and hormonal contraceptives

People gain weight as they age regardless of contraceptive use because their body metabolism changes and therefore weight increases if they make no compensatory changes in nutrition and activity. Key events over the reproductive lifespan, including puberty, pregnancy, and menopause, can have significant effects on metabolism and weight. Early identification of weight gain allows for timely discussion about changes in nutrition, activity, or contraceptive method, write Megan Lawley, MD, MPH, and Carrie Cwiak, MD, MPH, in the new edition of Contraceptive Technology (CT). Providers must listen to patients’ concerns, briefly review the medical evidence about weight change and use of contraceptive methods, and assist them in weighing the pros and cons of changing methods. Read more…
Mar / 2024

What most affects contraceptive continuation?

Research indicates that sexual acceptability influences contraceptive use over time—perhaps more so than all other factors. A prospective study in the United States followed 100 new combined oral contraceptive users for 1 year. Among the 47% of patients who stopped using their pills over the course of the study, decreased sexual thoughts and decreased psychosexual arousal were the strongest predictors of discontinuation. In a study of over 2,000 new-start contraceptive users, sexual acceptability had the largest measured effect on continuation over time. Contraceptive user’s perceptions that…
Feb / 2024

Resuming CT monthly updates! Introducing the new edition of Contraceptive Technology

We are letting you know that we’ve resumed posting the monthly updates on the Contraceptive Technology website. This, the first of the ongoing updates, presents a dozen quick insights from the brand-new edition of Contraceptive Technology. Stay attuned to these monthly emails and click below to read the entire post. 1. Current national guidelines recommend exiting cervical cancer screening over age 65 for those without a history of CIN2+ who have been adequately screened. However, about 20% of new cervical cancers are in those over age 65, and there are large racial disparities. Moreover, the characteristics of people over 65 are changing in many ways including life expectancy, sexual behaviors, and hysterectomy rates. These data on disparities and changes in the population over 65 are not reflected in the current guidelines. 2. It is useful to distinguish between measures of contraceptive effectiveness and measures of the risk of pregnancy during contraceptive use. If 20% of users become pregnant during their first year, it does not follow that the method is 80% effective… Read more…
Jan / 2024

The Book

Now available in a new 22nd edition, this well-known text with more than 2 million copies in print has been the leading family planning resource... Read more


Contraceptive Technology Conference

Join the authors of Contraceptive Technology  on April 25, 2024 for a one-day virtual conference as they share a deep dive into the cutting-edge data and best practices presented in the new 22nd edition of the book! The authors will clarify complex topics, discuss controversial and rapidly changing concepts, and answer your questions. They will bring you up-to-date on bleeding, contraceptive effectiveness, RTIs, new tools for effective counseling, new tools for FABM, and more! As an attendee, you will have ample time for interaction with the experts.