Chart 2. Recommendations of the Faculty of Sexual and Reproductive Healthcare (FSRH) for the use of contraception during the COVID-19 pandemic.
Situation | Recommendation |
---|---|
Request to start contraception | Evaluate remotely – provide desogestrel POPs for 6 to 12 months |
Use of medroxyprogesterone acetate (injectable) | Desogestrel POPs |
4-year-old etonogestrel implant | No indication of face-to-face consultation for exchange after expiration date – with the exception of women who wish to become pregnant or have serious adverse effects |
Indicated aditional desogestrel POP | |
Use of 52mg SIU of Levonogestrel | POP for aditional use |
5-year-old copper IUD | No indication of face-to-face consultation for exchange after expiration date – with the exception of women who wish to become pregnant, have signs of infection or have serious adverse effects |
Condom use and/or desogestrel POPs | |
POP is not indicated/appropriate | Complete remote evaluation of eligibility for a COC – AP and BMI accurate and self-referred |
Provide 6- to 12-month supply | |
Ineligible patient for COC: injectable medroxyprogesterone, etonogestrel implant and IUD can be considered |
Abbreviations: AP, arterial pressure; BMI, body mass index; COC, combined oral contraceptive; IUD, intrauterine device; IUS, intrauterine system; POP, progestogen-only pill.