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INNOVATIONS
Open Access

Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception

Kate H. Rademacher, Jill Sergison, Laura Glish, Lauren Y. Maldonado, Amelia Mackenzie, Geeta Nanda and Irina Yacobson
Global Health: Science and Practice October 2018, 6(3):603-610; https://doi.org/10.9745/GHSP-D-18-00093
Kate H. Rademacher
aFHI 360, Durham, NC, USA.
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  • For correspondence: krademacher@fhi360.org
Jill Sergison
aFHI 360, Durham, NC, USA.
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Laura Glish
bPopulation Services International, Washington, DC, USA.
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Lauren Y. Maldonado
aFHI 360, Durham, NC, USA.
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Amelia Mackenzie
aFHI 360, Durham, NC, USA.
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Geeta Nanda
aFHI 360, Durham, NC, USA.
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Irina Yacobson
aFHI 360, Durham, NC, USA.
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    FIGURE

    NORMAL Counseling Tool

    Abbreviations: COCs, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine device; NSAID, nonsteroidal anti-inflammatory drug.

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    TABLE.

    Content Related to Menstrual Bleeding Changes in Key International Family Planning Counseling and Training Resources

    Resource/Lead Organization(s)Contraceptive MethodMessages/Content Evaluated
    Type of Expected Bleeding ChangesComparison of Bleeding Changes Among Different MethodsWhen to Address Bleeding ChangesType of Reassurance ProvidedaStrategies to Manage Bleeding Changes and Associated SymptomsOverview of Function and Biological Process of MenstruationPotential Benefits of Oligomenorrhea or AmenorrheaExpected Bleeding Changes for Special Populationsb
    The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High HIV/STI Prevalence Settings24/Population CouncilImplantsYYAfter method initiation2NNYN
    DMPA injectableYNAfter method initiation1NNYN
    Copper IUDYNAfter method initiation2NNN/AN
    LNG IUSYNAfter method initiation2NNYN
    Training Resource Package for Family Planning25c/ USAID, WHO, and UNFPAImplantsYNBefore method initiation2NNYN
    DMPA injectableYNBefore method initiation3YNYN
    Copper IUDYNBefore method initiation2YNN/AY
    Providing Long-Acting Reversible Contraception (LARC) Learning Resource Package (Modular/Facility-Based)26d/MCSP, JhpiegoImplantsYNBefore method initiation2YNYY
    Copper IUDYNBefore method initiation2YNN/AN
    LNG IUSYNBefore method initiation2YNYY
    Pathfinder Family Planning Resources27–32c/PathfinderImplantsYNBefore method initiation3YNYN
    DMPA injectableYNBefore method initiation2YNYY
    Copper IUDYNBefore method initiation2YNN/AY
    Family Planning: A Global Handbook for Providers, 3rd ed.33/WHO and K4Health Project, Johns Hopkins CCPImplantsYNBefore and after method initiation3YNYN
    DMPA injectableYNBefore and after method initiation3YNYN
    Copper IUDYNBefore and after method initiation2YNN/AN
    LNG IUSYNBefore and after method initiation2NNYN
    LNG IUS Training Manual for Family Planning34e/ICA FoundationLNG IUSYYBefore method initiation2YNYN
    • ↵Abbreviations: CCP, Center for Communication Programs; DMPA, depot medroxyprogesterone acetate; ICA, International Contraceptive Access; IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system; K4Health, Knowledge for Health; MCSP, Maternal and Child Survival Program; UNFPA, United Nations Population Fund; USAID, United States Agency for International Development; WHO, World Health Organization.

    • ↵a 1=none; 2=general "no harm" message; 3=detailed "no harm" message.

    • ↵b Special populations include youth and postpartum women.

    • ↵c Method-specific information on the LNG IUS is not included in this resource.

    • ↵d Method-specific information on DMPA is not included in this resource.

    • e Information about the LNG IUS is not included in all resources because it is not widely available in developing countries. The ICA Foundation donates free LNG IUS units and has LNG IUS training resources for providers on their website. The ICA Foundation materials were reviewed for information on the LNG IUS specifically and did not include information on implants, DMPA, or the copper IUD.

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Global Health: Science and Practice: 6 (3)
Global Health: Science and Practice
Vol. 6, No. 3
October 03, 2018
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Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception
Kate H. Rademacher, Jill Sergison, Laura Glish, Lauren Y. Maldonado, Amelia Mackenzie, Geeta Nanda, Irina Yacobson
Global Health: Science and Practice Oct 2018, 6 (3) 603-610; DOI: 10.9745/GHSP-D-18-00093

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Menstrual Bleeding Changes Are NORMAL: Proposed Counseling Tool to Address Common Reasons for Non-Use and Discontinuation of Contraception
Kate H. Rademacher, Jill Sergison, Laura Glish, Lauren Y. Maldonado, Amelia Mackenzie, Geeta Nanda, Irina Yacobson
Global Health: Science and Practice Oct 2018, 6 (3) 603-610; DOI: 10.9745/GHSP-D-18-00093
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