title: Contraceptive Considerations for Women with Gastrointestinal Disorders.
abstract: Gastroenterologists are in a unique position to assist women with chronic gastrointestinal disorders in order to optimize their health prior to pregnancy. Women, whether with chronic conditions or not, and their infants are more likely to be healthy when pregnancies are planned. Achieving a planned pregnancy at the ideal time or preventing pregnancy altogether requires the use of appropriate contraceptives. There is a broad range of contraceptives available to women in the USA, and the majority of women with digestive diseases will be candidates for all effective methods. Guidance from the Centers for Disease Control and Prevention aids clinicians in prescribing appropriate contraceptives to women with medical disorders. This review will focus on contraception for women with inflammatory bowel disease and chronic liver disease, including liver transplant.
authors.affiliation: The Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave CHS 22-229, Los Angeles, CA, 90095, USA.
authors.forename: Aparna
authors.initials: A
authors.lastname: Sridhar
authors.affiliation: The Department of Gynecology and Obstetrics, Emory University School of Medicine, 49 Jesse Hill Jr. Drive SE, Atlanta, GA, 30303, USA.
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Cwiak
authors.affiliation: Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville, 653-1 W. 8th Street, Jacksonville, FL, 32209, USA.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Kaunitz
authors.affiliation: The Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, 101 Dudley Street, Providence, RI, 02905, USA. rhallen@wihri.org.
authors.forename: Rebecca H
authors.identifier: 0000-0002-6418-9426
authors.initials: RH
authors.lastname: Allen
mesh_terms: D003093:Colitis, Ulcerative; D003267:Contraception / Q000379:methods*; D003271:Contraceptive Agents, Female / Q000627:therapeutic use; D003277:Contraceptives, Oral, Combined / Q000627:therapeutic use; D003278:Contraceptives, Oral, Hormonal / Q000627:therapeutic use; D003424:Crohn Disease; D004066:Digestive System Diseases; D019468:Disease Management; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000627:therapeutic use; D008103:Liver Cirrhosis; D016031:Liver Transplantation
chemical_list: D003271:Contraceptive Agents, Female; D003277:Contraceptives, Oral, Combined; D003278:Contraceptives, Oral, Hormonal; D016912:Levonorgestrel
keywords: Cirrhosis; Contraception; Crohn’s disease; Inflammatory bowel disease; Liver transplantation; Ulcerative colitis