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Collaborating and Supporting Organi
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Family PlanningA GLOBAL HANDBOOK FO
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ForewordsFrom the World Health Orga
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AcknowledgementsVera Zlidar, Ushma
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What’s New inThis Handbook?This n
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How to Obtain More Copiesof This Bo
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xii
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óóAs commonly used, about 8 pregn
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Facts About Combined Oral Contracep
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Medical Eligibility Criteria forCom
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Medical Eligibility Criteria for Co
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Providing Combined OralContraceptiv
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Woman’s situationNot breastfeedin
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Explaining How to Use1. Give pills
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“Come Back Any Time”: Reasons t
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óóóóóóóóóIf irregular blee
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óóóóóóóóóóóStarting trea
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Questions and Answers AboutCombined
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12. Can a woman safely take COCs th
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How Effective?Effectiveness depends
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Who Can and Cannot UseProgestin-Onl
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Using Clinical Judgment in Special
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Woman’s situationPartially breast
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Giving Advice on Side EffectsIMPORT
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Supporting the UserManaging Missed
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Managing Any ProblemsProblems Repor
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óóóóóóóBreast tendernessBrea
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Questions and Answers AboutProgesti
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10. Do POPs change women’s mood o
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What Pills Can Be Used as Emergency
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Correcting Misunderstandings (see a
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Dosing InformationFor specific prod
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When to Start Contraception After E
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Questions and Answers AboutEmergenc
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Hormoneand PillTypeCombined(estroge
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CHAPTER 4Progestin-OnlyInjectablesK
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Side Effects, Health Benefits, and
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New Formulation of DMPAA formulatio
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Medical Eligibility Criteria forPro
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Using Clinical Judgment in Special
- Page 164:
Woman’s situationFully or nearly
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Giving Advice on Side EffectsIMPORT
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Supporting the UserGive specificins
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óDiscuss why the client was late a
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New Problems That May Require Switc
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6. Do progestin-only injectables ma
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CHAPTER 5Monthly InjectablesKey Poi
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Side Effects, Health Benefits, and
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Medical Eligibility Criteria forMon
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8. Do you have or have you ever had
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Providing Monthly InjectablesWhen t
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Woman’s situationNo monthlybleedi
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6. Dispose of ó Do not recap, bend
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Managing Late InjectionsóóóóIf
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New Problems That May Require Switc
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5Monthly Injectables5. Should the d
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OnlyEssentialstheCHAPTER 6Combined
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Providing the Combined PatchExplain
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OnlyEssentialstheCHAPTER 7CombinedV
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Providing the CombinedVaginal RingE
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CHAPTER 8ImplantsKey Points for Pro
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Side Effects, Health Benefits, Heal
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Who Can and Cannot UseImplantsSafe
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6. Do you have or have you ever had
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Woman’s situationFully or nearly
- Page 264:
Giving Advice on Side EffectsIMPORT
- Page 268:
Removing ImplantsIMPORTANT: Provide
- Page 272:
“Come Back Any Time”: Reasons t
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óóóóóóóóóóóóóóóóTo
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óóóIn the early stages of ectopi
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3. Do implants cause cancer?No. Stu
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CHAPTER 9Copper-BearingIntrauterine
- Page 292: Correcting Misunderstandings (see a
- Page 296: Medical Eligibility Criteria forCop
- Page 300: Screening Questions for Pelvic Exam
- Page 304: 2.3.Ask the woman to consider her o
- Page 308: Woman’s situationFully or nearlyf
- Page 312: Giving Advice on Side EffectsIMPORT
- Page 316: Supporting the UserGiving Specific
- Page 320: 4.A routine pelvic examination at t
- Page 324: Switching toVasectomyWhen to start
- Page 328: óóóóóóPartner can feel IUD st
- Page 332: óóIUD completely comes out (compl
- Page 336: 3. If a current IUD user has a sexu
- Page 340: OnlyEssentialstheCHAPTER 10Levonorg
- Page 346: Who Can and Cannot UseLevonorgestre
- Page 350: Woman’s situationSwitching froma
- Page 354: Giving Advice on Side EffectsIMPORT
- Page 358: óóA small risk of pregnancy remai
- Page 362: Why Some Women Say They LikeFemale
- Page 366: Medical Eligibility Criteria for Fe
- Page 370: Providing Female SterilizationWhen
- Page 374: Because Sterilization Is PermanentA
- Page 378: 5.6.7.8.9.The provider makes a smal
- Page 382: “Come Back Any Time”: Reasons t
- Page 386: Questions and Answers AboutFemale S
- Page 390: 10. How can health care providers h
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óóóVasectomy is not fully effect
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Who Can Have a VasectomySafe for Al
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Medical Eligibility Criteria for Va
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Vasectomy TechniquesReaching the Va
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Supporting the UserExplaining Self-
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Helping UsersManaging Any ProblemsP
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4. Is it possible to check if a vas
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CHAPTER 13Male CondomsThis chapter
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Why Some Men and Women Say They Lik
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Explaining How to UseIMPORTANT: Whe
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What Condom Users Should Not DoSome
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infection, a mutually faithful sexu
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4. Will using condoms reduce the ri
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CHAPTER 14Female CondomsThis chapte
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Side Effects, Health Benefits, and
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Basic StepsImportant Details3. Ensu
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Tips for New UsersóóóóSuggest t
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óóóóóMild irritation in or aro
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CHAPTER 15Spermicides andDiaphragms
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Correcting Misunderstandings (see a
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Supporting the Spermicide UserEnsur
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Correcting Misunderstandings (see a
- Page 484:
Providing DiaphragmsWhen to StartWo
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Basic Steps Important Details4. Kee
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Managing Any ProblemsProblems Repor
- Page 496:
Questions and Answers AboutSpermici
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CHAPTER 16Cervical CapsKey Points f
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CHAPTER 17Fertility AwarenessMethod
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Side Effects, Health Benefits, and
- Page 512:
Providing Calendar-BasedMethodsWhen
- Page 516:
Calendar Rhythm MethodKeep track of
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(including chlorpromazine, thiorida
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Basal Body Temperature (BBT) Method
- Page 528:
Symptothermal Method (basal body te
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óIf she has had unprotected sex in
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CHAPTER 18WithdrawalKey Points for
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CHAPTER 19LactationalAmenorrhea Met
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Who Can Use the LactationalAmenorrh
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Providing the LactationalAmenorrhea
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Explaining How to UseBreastfeed oft
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Questions and Answers Aboutthe Lact
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CHAPTER 20Serving DiverseGroupsKey
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For some contraceptive methods ther
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Provide Accurate InformationTo info
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Female sterilization and vasectomy
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Family planning providers can help
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What Causes STIs?Several types of o
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Common signs and symptoms that may
- Page 588:
Strategy 3: If both partners know t
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MethodFemalesterilizationVasectomyS
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Screening and TreatmentScreening fo
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6. Will having sex with a virgin cu
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CHAPTER 22Maternal andNewborn Healt
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óóóA woman who is not fully or n
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Earliest Time That a Woman Can Star
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- To destroy HIV in breast milk, ex
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CHAPTER 23ReproductiveHealth Issues
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When to Start Contraceptive Methods
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3.Be alert to symptoms, injuries, o
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6.óóIf she wants, give her a cont
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Postpartum and postabortion infecti
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CHAPTER 24Family PlanningProvisionI
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óóCheck the client’s understand
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MethodMonthly andprogestin-onlyinje
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Wear glovesDo pelvicexaminationsonl
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Make Infection Prevention a HabitWi
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Regularly (monthly or quarterly, de
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APPENDIX AContraceptive Effectivene
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Condition Description Signs and Sym
- Page 672:
Cardiovascular DiseaseóóóóHigh
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ConditionCombined oralcontraceptive
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= Use the method= Do not use the me
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= Use the method= Do not use the me
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= Use the method= Do not use the me
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hernia; postpartum uterine rupture
- Page 696:
Glossaryabscess A pocket of pus sur
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endometrial cancer Malignant (cance
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jaundice Abnormal yellowing of the
- Page 708:
scrotum The pouch of skin behind th
- Page 712:
Aabdominal bloating and discomfort.
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community-based distribution...317c
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genital warts...279, 284-285gloves.
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lubricants...274for female condoms.
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post-exposure prophylaxis...209, 28
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unexplained vaginal bleeding...40,
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MethodologyThis handbook, one of th
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p. 250 Institute for Reproductive H
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Comparing InjectablesCharacteristic
- Page 748:
Characteristic Male Condoms Female
- Page 752:
Correctly Using a Male Condom1. Use
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External AnatomyClitorisSensitive b
- Page 760:
Male Anatomyand How Contraceptives
- Page 764:
Identifying Migraine HeadachesFor w
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When she returns:óóIf she returns
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If You Miss PillsAlways take a pill