Table 1.

Checklist of Family Planning and Related Preventive Health Services for Women

Screening components	Family planning services (provide services in accordance with the appropriate clinical recommendation)					Related preventive health services
	Contraceptive servicesa	Pregnancy testing and counseling	Basic infertility services	Preconception health services	STD servicesb
History
Reproductive life planc	Screen	Screen	Screen	Screen	Screen
Medical historyc,d	Screen	Screen	Screen	Screen	Screen	Screen
Current pregnancy statusc	Screen
Sexual health assessmentc,d	Screen		Screen	Screen	Screen
Intimate partner violencec,d,e				Screen
Alcohol and other drug usec,d,e				Screen
Tobacco usec,e	Screen (combined hormonal methods for clients aged ≥35 years)			Screen
Immunizationsc				Screen	Screen for HPV and HBVf
Depressionc,e				Screen
Folic acidc,e				Screen
Physical examination
Height, weight, and BMIc,e	Screen (hormonal methods)g		Screen	Screen
Blood pressurec,e	Screen (combined hormonal methods)			Screenf
Clinical breast examd			Screen			Screenf
Pelvic examc,d	Screen (initiating diaphragm or IUD)	Screen (if clinically indicated)	Screen
Signs of androgen excessd			Screen
Thyroid examd			Screen
Laboratory testing
Pregnancy testd	Screen (if clinically indicated)	Screen
Chlamydiac,e	Screenh				Screenf
Gonorrheac,e	Screenh				Screenf
Syphilisc,e					Screenf
HIV/AIDSc,e					Screenf
Hepatitis Cc,e					Screenf
Diabetesc,e				Screenf
Cervical cytologye						Screenf
Mammographye						Screen f

^aThis table presents highlights from CDC’s recommendations on contraceptive use. However, providers should consult the following guidelines when treating individual patients to obtain more detailed information about specific medical conditions and characteristics (Source: CDC. U.S. medical eligibility criteria for contraceptive use 2010. MMWR. 2010;59 [No.RR-4]).

^bSTD services also promote preconception health, but are listed separately here to highlight their importance in the context of all types of family planning visits. The services listed in this column are for women without symptoms suggestive of an STD.

^cCDC recommendation.

^dProfessional medical organization recommendation.

^eU.S. Preventive Services Task Force recommendation.

^fIndicates that screening is suggested only for those persons at highest risk or for a specific subpopulation with high prevalence of an infection or condition.

^gWeight (BMI) measurement is not needed to determine medical eligibility for any methods of contraception because all methods can be used (U.S. Medical Eligibility Criteria 1) or generally can be used (U.S. Medical Eligibility Criteria 2) among obese women (Source: CDC. U.S. medical eligibility criteria for contraceptive use 2010. MMWR. 2010;59 [No. 4]). However, measuring weight and calculating BMI at baseline might be helpful for monitoring any changes and counseling women who might be concerned about weight change perceived to be associated with their contraceptive method.

^hMost women do not require additional STD screening at the time of IUD insertion if they have already been screened according to CDC’s STD treatment guidelines (Source: CDC. Sexually transmitted diseases treatment guidelines, 2010. MMWR. 2010;59 [RR-12]. www.cdc.gov/std/treatment/). If a woman has not been screened according to guidelines, screening can be performed at the time of IUD insertion, and insertion should not be delayed. Women with purulent cervicitis or current chlamydial infection or gonorrhea should not undergo IUD insertion (U.S. Medical Eligibility Criteria 4), and women who have a very high individual likelihood of STI exposure (e.g., those with a currently infected partner) generally should not undergo IUD insertion (U.S. Medical Eligibility Criteria 3) (Source: CDC. U.S. medical eligibility criteria for contraceptive use 2010. MMWR Recomm Rep. 2010;59[RR-4]). For these women, IUD insertion should be delayed until appropriate testing and treatment occurs.

HBV, hepatitis B virus; HPV, human papillomavirus; IUD, intrauterine device; STD, sexually transmitted disease; STI, sexually transmitted infection.