Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Oct 4;6(3):603-610.
doi: 10.9745/GHSP-D-18-00093. Print 2018 Oct 3.

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

Kate H Rademacher  1 , Jill Sergison  2 , Laura Glish  3 , Lauren Y Maldonado  2 , Amelia Mackenzie  2 , Geeta Nanda  2 , Irina Yacobson  2
Affiliations

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

Kate H Rademacher et al. Glob Health Sci Pract. .

Abstract

A new family planning counseling tool uses the simple mnemonic device “NORMAL” to help family planning counselors and providers communicate to their clients key messages about menstrual bleeding changes associated with use of hormonal contraception and the copper IUD.

PubMed Disclaimer

Figures

FIGURE
FIGURE
NORMAL Counseling Tool Abbreviations: COCs, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine device; NSAID, nonsteroidal anti-inflammatory drug.
See this image and copyright information in PMC

References

    1. Guttmacher Institute. Adding It Up: Investing in Contraception and Maternal and Newborn Health, 2017. [Fact Sheet.] New York: Guttmacher Institute; 2017. https://www.guttmacher.org/sites/default/files/factsheet/adding-it-up-co.... Accessed August 8, 2018.
    1. Sedgh G, Ashford LS, Hussain R. Unmet Need for Contraception in Developing Countries: Examining Women's Reasons for Not Using a Method. New York: Guttmacher Institute; 2016. https://www.guttmacher.org/report/unmet-need-for-contraception-in-develo.... Accessed August 8, 2018.
    1. Castle S, Askew I. Contraceptive Discontinuation: Reasons, Challenges, and Solutions. New York: Population Council; 2015. http://ec2-54-210-230-186.compute-1.amazonaws.com/wp-content/uploads/201.... Accessed August 8, 2018.
    1. Belsey E, Farley TM. The analysis of menstrual bleeding patterns: A review. Contraception. 1988;38(2):129–156. 10.1016/0010-7824(88)90035-2. - DOI - PubMed
    1. Berlan E, Mizraji K, Bonny AE. Twelve-month discontinuation of etonogestrel implant in an outpatient pediatric setting. Contraception. 2016;94(1):81–86. 10.1016/j.contraception.2016.02.030. - DOI - PubMed

Publication types