What are the CDC practice recommendations for managing contraceptive use in the US?

Updated: Oct 06, 2020
  • Author: Frances E Casey, MD, MPH; Chief Editor: Richard Scott Lucidi, MD, FACOG  more...
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In June 2013, the Centers for Disease Control and Prevention (CDC) issued selected practice recommendations for contraceptive use in the United States, covering issues such as the initiation of contraception, follow-up, and possible problems, including missed pills and unscheduled bleeding. [1] Highlights of the guidelines, which are adapted from the World Health Organization’s recommendations, include the following:

  • No laboratory testing is necessary before contraception is initiated

  • No physical examination other than a blood pressure check is needed before initiating combined hormonal contraception

  • Cervical cancer screening is not needed before intrauterine device (IUD) placement

  • IUD removal is not necessary if a woman develops pelvic inflammatory disease; antibiotic treatment is sufficient

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