Current issues in contraception

Mayo Clin Proc. 2013 Mar;88(3):295-9. doi: 10.1016/j.mayocp.2013.01.007. Epub 2013 Feb 27.


Contraceptive management in women should take into account patient lifestyle and coexisting medical issues as well as method safety, efficacy, and noncontraceptive benefits. This review focuses on common and timely issues related to contraception encountered in clinical practice, including migraine headaches and associated risk of ischemic stroke, the use of combined hormonal contraception along with citalopram and escitalopram, contraceptive efficacy and safety in the setting of obesity, contraceptives for treatment of menorrhagia, the association of intrauterine contraception and decreased risk of cervical cancer, and the association of venous thromboembolism and combined hormonal contraception. Recent trends supporting the use of long-acting reversible contraception are also reviewed.

Publication types

  • Review

MeSH terms

  • Contraception* / adverse effects
  • Contraception* / methods
  • Contraceptive Agents, Female* / administration & dosage
  • Contraceptive Agents, Female* / adverse effects
  • Contraceptive Agents, Female* / therapeutic use
  • Female
  • Humans
  • Intrauterine Devices*
  • Menorrhagia / drug therapy
  • Migraine Disorders / complications
  • Migraine Disorders / drug therapy
  • Obesity
  • Stroke / chemically induced
  • Stroke / complications
  • Venous Thromboembolism / chemically induced


  • Contraceptive Agents, Female