CE: An Evidence-Based Update on Contraception.

This is a narrative review, not a trial or systematic review, so it summarizes existing guidance rather than testing a new intervention. Emergency contraception is explicitly outside the scope, so it gives no guidance on that method. Failure rates are first-year unintended pregnancy percentages for groups of users, so they do not predict an individual patient's risk without considering adherence, medical eligibility, and access. The review notes that providers have shown bias by recommending IUDs more often to Black and Latina women with low socioeconomic status, so method recommendations may reflect provider bias rather than patient preference. It states that many fertility apps are not FDA-regulated and some contain erroneous medical information, so app-based fertility awareness advice cannot be assumed to be accurate.

The authors and planners disclosed no potential conflicts of interest, financial or otherwise.

Do not treat implants and IUDs as automatically best for every patient. The review says providers have shown bias by recommending IUDs more often to Black and Latina women with low socioeconomic status, and pressuring patients into these methods undermines reproductive autonomy.