USAID
Helping continuing users of oral contraceptives, including COCs, POPs, ECPs, and Centchroman, is crucial for resolving problems, increasing client satisfaction, and promoting the continuation of the method for spacing between childbirths.
2016 · 10 pages

Abstract
This approach also helps in spreading awareness and acceptance of the method within the community. To help continuing users of COCs, healthcare providers should ask clients about their satisfaction with the method, any questions or concerns they may have, and if they are experiencing bleeding changes. Providers should also offer information and assistance as needed, discuss ways to remember to take the pill every day, and help manage missed pills. Additionally, providers should check clients' blood pressure annually, if possible, and offer alternative methods if they are still unhappy with COCs. Furthermore, providers should give clients more pill packs and plan their next resupply visit before they need more pills, and ask about major life changes, such as the need for more children or protection from STIs/HIV. Helping continuing users of POPs involves similar steps, including asking clients about their satisfaction with the method, any questions or concerns they may have, and if they are experiencing bleeding changes. Providers should also offer information and assistance as needed, discuss ways to remember to take the pill every day, and help manage missed pills. If clients have stopped breastfeeding, they may be less protected from pregnancy, and providers should discuss alternative methods or continued use of POPs. Providers should also give clients more pill packs and plan their next resupply visit before they need more pills, and ask about major life changes, such as the need for more children or protection from STIs/HIV. Guiding frequent users of ECPs involves explaining that ECPs will not protect them from pregnancy for future sex, even the next day, and discussing the need for protection from STIs, including HIV. Providers should also offer alternative methods, such as regular use of oral contraceptives or condoms, and invite clients to return if they want to start a regular method or have questions or problems. Helping continuing users of Centchroman involves asking clients about their satisfaction with the method, any questions or concerns they may have, and if they are experiencing prolonged menstrual cycles. Providers should also offer information and assistance as needed, discuss ways to remember to take the pill, and help manage missed pills. If clients are still unhappy with Centchroman, providers should offer alternative methods, give them more pill packs, and plan their next resupply visit before they need more pills. Providers should also ask about major life changes, such as the need for more children or protection from STIs/HIV.
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