Community-generated resource library-CDC SPR 2024_Guidance and Supplementary Materials

CDC SPR 2024_Guidance and Supplementary Materials

Pdf Summary

The CDC's 2024 U.S. Selected Practice Recommendations for Contraceptive Use provides updated guidelines for healthcare providers, focusing on initiating and managing contraceptive methods with an emphasis on evidence-based practices and patient autonomy. Updates from the 2016 edition, based on scientific data and expert consultation, include new guidance for IUD placement, managing bleeding with contraceptive implants, and considerations for testosterone use among transgender and nonbinary individuals.

Key recommendations include:

1. <strong>IUD Placement</strong>: Local anesthetics like lidocaine are effective for reducing pain, while the benefits of Misoprostol, NSAIDs, and smooth muscle relaxants are limited.

2. <strong>Bleeding Management</strong>: For LNG-IUDs, treatments like tranexamic acid and mefenamic acid may reduce bleeding days, though evidence is limited. NSAIDs and combined oral contraceptives might help reduce bleeding with implants, but some treatments like doxycycline require further study.

3. <strong>Testosterone and Pregnancy</strong>: Despite testosterone therapy, ovulation can occur in new transgender and nonbinary users, indicating a potential pregnancy risk.

4. <strong>Hormonal Contraception and Emergency Contraception (EC)</strong>: Initiating hormonal contraception after UPA-based EC can affect UPA's ovulation-delaying effectiveness but does not heavily compromise overall contraceptive efficacy.

Healthcare providers are encouraged to integrate these updated recommendations to facilitate equitable access to contraception while respecting patient autonomy and preferences. Emphasizing person-centered counseling, the guidance aims to minimize unnecessary medical barriers and address reproductive coercion's historical context, especially within marginalized groups. These updated guidelines promote high-quality reproductive health care by aligning clinical practices with individual values and reproductive goals. The document highlights areas requiring further research, striving for improved outcomes in contraceptive care.

Keywords

CDC

contraceptive use

IUD placement

bleeding management

testosterone use

transgender healthcare

emergency contraception

patient autonomy

evidence-based practices

reproductive health