iPLEDGE isotretinoin counseling may need updating

April 15, 2014
iPLEDGE isotretinoin counseling may need updating

(HealthDay)—The iPLEDGE program needs to provide women with information about more contraceptive choices, including reversible contraceptives, according to research published in the April issue of JAMA Dermatology.

Carly A. Werner, from the University of Pittsburgh, and colleagues conducted structured interviews with 16 women who had used isotretinoin to treat severe skin disease. Content analysis using a grounded theory approach was performed.

The researchers found that the women clearly understood that isotretinoin is teratogenic, but they had less understanding of that effectively prevent pregnancy. Most reported the counseling they received as anxiety provoking. Reversible contraceptives (i.e., subdermal implant or intrauterine contraception) were infrequently mentioned in counseling, which focused mostly on . Friends, family, physicians, the Internet, and other media were cited as influencing contraceptive choice, although some women expressed concerns about the accuracy of these sources. When shown evidence-based information on the relative effectiveness of available contraceptives, participants were surprised that this data was not part of the iPLEDGE materials.

"Since few clinicians provide women information on highly effective (i.e., intrauterine or subdermal) contraceptives, the iPLEDGE program increases anxiety about isotretinoin more than it helps feel protected from the teratogenic risks of isotretinoin," the authors write.

Explore further: Diabetics less likely to get contraceptive services, study finds

More information: Abstract
Full Text (subscription or payment may be required)
Editorial (subscription or payment may be required)

Related Stories

Adjunct social media improves contraceptive knowledge

March 27, 2014

(HealthDay)—Use of social media in addition to standard contraceptive education is associated with improved patient contraceptive knowledge, according to research published in the April issue of Obstetrics & Gynecology.

Hormones, vaginal flora impact cervicovaginal lavage

April 1, 2014

(HealthDay)—Hormonal contraception use and vaginal flora all impact the properties of cervicovaginal lavage, according to a study published online March 24 in the American Journal of Obstetrics & Gynecology.

Attention to postpartum contraception needed

April 2, 2014

(HealthDay)—Women in the postpartum period should receive counseling and access to contraceptive methods to promote optimal birth spacing, according to research published in the April issue of the American Journal of Obstetrics ...

Recommended for you

Bright lighting encourages healthy food choices

May 26, 2016

Dining in dimly lit restaurants has been linked to eating slowly and ultimately eating less than in brighter restaurants, but does lighting also impact how healthfully we order?

Big Data can save lives, says leading cancer expert

May 16, 2016

The sharing of genetic information from millions of cancer patients around the world could be key to revolutionising cancer prevention and care, according to a leading cancer expert from Queen's University Belfast.

New soap to ward off malaria carrying mosquitoes

May 13, 2016

(Medical Xpress)—Gérard Niyondiko along with colleagues Frank Langevin and Lisa Barutel has posted a project on the crowd source funding site ulule for a product called Faso Soap. They claim the soap can cut in half the ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.