Individualizing Long-Acting Contraceptive Choices: A Guide for Patient Counseling


Questions 1-3 pertain to the following case.

MA, a 28-year-old mother of an 11-month-old baby, presents to the pharmacy following unprotected intercourse 3 nights ago when she and her long-term partner did not use any form of contraception. They had been relying on progestin-only pills for contraception, but she stopped taking the pills last week because she thinks they are contributing to her trouble losing her "baby weight." When the pharmacist asks about her pregnancy intentions, she shares the couple's plan to space their next child by at least several years.

Questions 4 and-5 pertain to the following case.

NM, a 37-year-old woman, is pregnant with her third child and does not want any more children. She inquires about her options for contraception after delivery. She is most interested in tubal ligation and long-acting reversible contraception.

Questions 6 and 7 pertain to the following case.

LP, a 21-year-old woman, presents to your facility for a medical abortion. She is interested in using a highly effective method of contraception. She chooses the contraceptive implant and wants to have it placed today.

Questions 8-10 pertain to the following case.

IW, a 35-year-old woman, has been struggling with heavy menstrual bleeding and has a new sexual partner. She has tried combined hormonal oral contraceptive pills to decrease bleeding but finds the daily schedule challenging. She has never been pregnant and is not planning on having children. She has no other symptoms.