Medical barriers to effective contraception

Obstet Gynecol Clin North Am. 2007 Mar;34(1):19-29, vii. doi: 10.1016/j.ogc.2007.01.003.


Medical barriers to contraception can prevent women from obtaining, initiating, and continuing their contraceptive method of choice. The barriers include lack of appropriate counseling, delaying initiation for menses or laboratory tests, inappropriate contraindications or mandated warnings, untrained clinicians, and financial or regulatory barriers preventing access by low-income, undocumented, or adolescent women. These barriers may partially explain why almost half of pregnancies in the United States are unintended and occur predominantly in the small proportion of sexually active women not using contraception.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Contraception / methods*
  • Contraception / statistics & numerical data*
  • Counseling
  • Family Planning Services / economics
  • Family Planning Services / methods*
  • Female
  • Humans
  • Pregnancy
  • Pregnancy, Unplanned*
  • Risk Factors
  • United States