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Contraception Journal
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Contraception Highlights August 2015

Editorial

Nonsurgical permanent contraception for women: let’s complete the job
Jeffrey T. Jensen
Over the last 30 years, steady advances in research have yielded a variety of new methods of reversible contraception. In particular, long-acting methods such as the intrauterine device and contraceptive implant have decreased the risk of failure and unintended pregnancy. While these long-acting reversible methods are suitable for use in most women, current approaches require at least periodic interaction with a health care provider to replace the device and most utilize hormones. A major factor in contraception counseling should be the fertility aspirations of the woman.
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Permanent Contraception Meeting Papers

Quinacrine sterilization (QS): time for reconsideration
Jack Lippes
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Characterization of tubal occlusion after transcervical polidocanol foam (PF) infusion in baboons
Jeffrey T. Jensen, Carol Hanna, Shan Yao, Cassondra Bauer, Terry K. Morgan, Ov D. Slayden
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Improvement of stability of polidocanol foam for nonsurgical permanent contraception
Jian Xin Guo, Lisa Lucchesi, Kenton W. Gregory
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Pathogenesis of fallopian tube damage caused by Chlamydia trachomatis infections
Louise M. Hafner
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Endometriosis-induced changes in regulatory T cells — insights towards developing permanent contraception
Asgerally T. Fazleabas, Andrea Braundmeier, Kirstin Parkin
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The baboon (Papio sp.) as a model for female reproduction studies
Cassondra Bauer
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The history and current status of fallopian tube pressures — developing alternate methods for confirmation of tubal occlusion
Eva Patil, Amy Thurmond
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Conceptualizing risk and effectiveness: a qualitative study of women’s and providers’ perceptions of nonsurgical female permanent contraception
Elizabeth K. Harrington, Diana Gordon, Isabel Osgood-Roach, Jeffrey T. Jensen, Jennifer Aengst
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Interest in nonsurgical female permanent contraception among men in Portland, Oregon and eastern Maharashtra, India
Elizabeth K. Harrington, Diana Gordon, Pramod Bahulekar, B.S. Garg, Isabel Osgood-Roach, Jeffrey T. Jensen, Jennifer Aengst
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A nonsurgical permanent contraception stakeholder advisory committee: FHI 360's experience
Karen R. Katz, Kavita Nanda
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Original Research Articles

Provider barriers to family planning access in urban Kenya
Katherine Tumlinson, Chinelo C. Okigbo, Ilene S. Speizer
Objective: A better understanding of the prevalence of service provider-imposed barriers to family planning can inform programs intended to increase contraceptive use. This study, based on data from urban Kenya, describes the frequency of provider self-reported restrictions related to clients’ age, parity, marital status, and third-party consent, and considers the impact of facility type and training on restrictive practices.
Conclusion: Programs need to address provider-imposed barriers that reduce access to contraceptive methods particularly among young, lower parity, and single women. Promising strategies include targeting private facility providers and increasing the prevalence of in-service training.
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The influence of partnership on contraceptive use among HIV-infected women accessing antiretroviral therapy in rural Uganda
Christina I. Nieves, Angela Kaida, George R. Seage III, Jerome Kabakyenga, Winnie Muyindike, Yap Boum, A. Rain Mocello, Jeffrey N. Martin, Peter W. Hunt, Jessica E. Haberer, David R. Bangsberg, Lynn T. Matthews
Objective: The objective was to determine individual and dyadic factors associated with effective contraceptive use among human immunodeficiency virus (HIV)-infected women accessing antiretroviral therapy (ART) in rural Uganda.
Implications statement: Less than half of sexually active HIV-infected women accessing ART in rural Uganda reported using effective contraception, of whom 44% relied exclusively on the male condom. These findings highlight the need to expand access to a wider range of longer-acting, female-controlled contraceptive methods for women seeking to limit or space pregnancies. Use of contraception was more likely when both the male and female partner expressed concordant desires to limit future fertility, emphasizing the importance of engaging men in reproductive health programming.
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Women living with HIV still lack highly effective contraception: results from the ANRS VESPA2 study, France, 2011
B. Maraux, C. Hamelin, N. Bajos, R. Dray-Spira, B. Spire, F. Lert, Vespa2 study group
Objectives: Advances in antiretroviral treatment (ART) have led to improvements in reproductive health for women living with HIV. This paper aims to investigate the pattern of contraceptive use among women living with HIV in France.
Implications: The information provided in this study constitutes a major contribution to comprehensively inform the scientific community on contraception practices among women living with HIV in France in the early 2010s. Our results show that the therapeutic advances since the late 1990s and the removal of restrictions on hormonal contraception use have not led to the expected shift in contraception patterns. There is an urgent need to promote dual method protection, as condom use may decrease in the future in the context of the preventive effect of ART.
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Nonuse of contraception among women at risk of unintended pregnancy in the United States
William Mosher, Jo Jones, Joyce Abma
Objective: This paper seeks to determine factors associated with nonuse of contraception by women at risk of unintended pregnancy in the United States. This nonuse may be associated with about 900,000 unintended births in the US each year.
Implications: These results may help better understand factors affecting nonuse of contraception and develop strategies for preventing unintended pregnancy in the United States.
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