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August 19, 2002

Pelvic exam prior to Injectables?

In our program we do not require a pelvic exam for a woman to begin oral contraceptives. But what about injectables such as Depo-Provera. Is a pelvic exam required?

No. According to WHO, a pelvic exam for injectables contraceptives (including monthly injectables) is a Category C. That is "does not contribute substantially to the safe and effective use of the contraceptive method."

References:
World Health Organization, Reproductive Health and Research, Selected practice recommendations for contraceptive use. Geneva, 2002.

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The "Pearls" offer answers to commonly asked questions about family planning. These "Pearls" are prepared by Dr. James D. Shelton, Senior Medical Scientist, Office of Population, United States Agency for International Development (USAID)

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