Exploring the reproductive decision support needs and preferences of women with cystic fibrosis,

Contraceptive decision making among pregnancy-capable individuals with opioid use disorder at a tertiary care center in Massachusetts

“…[21,22] The motivations behind many contraceptive decisions made by pregnancy-capable individuals with OUD include prioritizing relapse prevention, integrating a method into a chaotic life, and protecting fertility in a way that emulates patients with other chronic medical conditions. [23][24][25][26] Understanding these motivations provides a foundation for improved contraceptive decisional support.…”

Gynecologic health care for females with cystic fibrosis

“…The most common methods are the OCP and condoms [32] , [42] , although a recent survey indicates growing use of intrauterine devices [37] . Qualitative interviews with females with CF reveal that contraceptive decision-making can be complicated as they weigh possible health effects and medication interactions, and contraception is often a lower priority amidst their other health considerations [43] , [44] . In addition, females with CF often believe they cannot become pregnant, and most rely on their CF team for their primary care [43] , [44] .…”

“…Qualitative interviews with females with CF reveal that contraceptive decision-making can be complicated as they weigh possible health effects and medication interactions, and contraception is often a lower priority amidst their other health considerations [43] , [44] . In addition, females with CF often believe they cannot become pregnant, and most rely on their CF team for their primary care [43] , [44] . These fertility concerns and issues of gynecologic care access likely impact uptake of contraception and will be addressed in the following sections.…”

“…3 ) [64] . CF patients and their parents desire increased communication with their provider as well as SRH educational resources [44] , [66] . On the provider end, practical interventions such as an electronic health template modification have been shown to improve documented conversations about sexual activity and contraception [69] .…”

“…Partnership between the CF team and gynecology is integral to maximizing the uptake and quality of SRH care. Females with CF often act as an intermediary between their CF and obstetrics and gynecology teams due to differing areas of expertise and lack of communication, and prefer referrals to reproductive health providers with CF knowledge and experience [44] . At a French adult CF center, establishing a formal consult service with gynecologists trained in CF increased access to gynecologic care, cervical cancer screening, and use of contraception over a 3-year study period [70] .…”