US Selected Practice Recommendations (US SPR) for Contraceptive Use, 2016
The 2016 U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) addresses a select group of common, yet sometimes controversial or complex, issues regarding initiation and use of specific contraceptive methods. These recommendations for health care providers were updated by CDC after review of the scientific evidence and consultation with national experts who met in Atlanta, Georgia, during August 26–28, 2015. The information in this report updates the 2013 U.S. SPR (MMWR 2013;62 [No. RR-5]). Major updates include:
1) Revised recommendations for starting regular contraception after the use of emergency contraceptive pills.
2) New recommendations for the use of medications to ease insertion of intrauterine devices.
The recommendations in this report are intended to serve as a source of clinical guidance for health care providers and provide evidence-based guidance to reduce medical barriers to contraception access and use. Health care providers should always consider the individual clinical circumstances of each person seeking family planning services. This report is not intended to be a substitute for professional medical advice for individual patients. Persons should seek advice from their health care providers when considering family planning options.
Downloads and Resources
US SPR eBook
CDC has an eBook which provides guidance for healthcare providers on common, yet sometimes complex, management issues around the initiation and use of specific contraceptive methods.This eBook includes the full content of the U.S. Selected Practice Recommendations for Contraceptive Use, 2016
US MEC & US SPR App
Download the 2016 US MEC and US SPR app, an easy to use reference that combines information from the both CDC family planning guidance. It features a streamlined interface so providers can access the guidance quickly and easily. It is available for iOS and Android operating systems.
Print Version of the MMWR [PDF – 187KB]
Print version of the MMWR US Selected Practice Recommendations for Contraceptive Use, 2016
When to Start Contraceptive Methods and Routine-Follow Up – [PDF – 158KB]
This provider tool contains information from the US SPR into a one page document. It includes How to Be Reasonably Certain That a Women Is Not Pregnant, When to Start Using a Specific Contraceptive Methods, and Routine Follow-Up After Contraceptive Initiation.
What to Do If Late, Missed, or Delayed Combined Hormonal Contraception – [PDF 213KB]
This provider tool from the US SPR contains Recommended Actions After Late or Missed Combined Oral Contraceptive, Recommended Actions After Delayed Application or Detachment with Combined Hormonal Patch, and Recommended Actions After Delayed Insertion or Reinsertion with Combined Hormonal Ring.
Management of IUD when Pelvic Inflammatory Disease (PID) is Found and Management of Women with Bleeding Irregularities [PDF – 104KB]
This provider tool contains two diagrams presented in the US SPR. It includes the Management of Women with Bleeding Irregularities While Using Contraception and the Management of the IUD When a CU-IUD or an LNG-IUD User Is Found to Have Pelvic Inflammatory Disease.
Effectiveness of Contraceptive Methods Chart [PDF – 670KB]
Charts can be printed double sided, laminated, and used by health care providers when counseling women.
Effectiveness of Family Planning Methods [PDF – 305KB] (in English)
Eficacia de los métodos de planificación familiar [PDF – 136 KB] (in Spanish)
2’ x 3’ Posters can be printed double sided, laminated, and used by health care providers when counseling women.
A limited amount of provider tools and MMWRs are available to order from CDC-INFO on Demand.
- Page last reviewed: February 1, 2017
- Page last updated: February 1, 2017
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