Overview
Clinical Meaning
Contraceptive selection integrates patient preferences, medical eligibility, lifestyle factors, and reproductive goals into shared decision making.
PMHNP
PMHNP
Contraceptive selection integrates patient preferences, medical eligibility, lifestyle factors, and reproductive goals into shared decision-making. The tiered efficacy model categorizes methods by typical-use failure rates: Tier 1 (most effective, <1% failure) includes LARC methods (IUDs, implant) and sterilization; Tier 2 (effective, 4-7% failure) includes injectables, pills, patch, and ring; Tier 3 (moderately effective, 13-27% failure) includes condoms, diaphragm, fertility awareness, and withdrawal. Patient autonomy and reproductive justice principles require offering all eligible methods without coercion and supporting informed choice regardless of provider preference.
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