Lesson 1Long-acting reversible contraception — implants: device types, mechanism, insertion/removal technique overview, effectiveness, bleeding changes, counseling and postpartum guidanceCovers implant types, hormone content, mechanisms, insertion and removal principles, effectiveness, bleeding pattern changes, postpartum timing, eligibility, and counseling strategies to support informed, sustained use of implants.
Available implant types and hormone dosesMechanism of action and onset of effectInsertion and removal technique overviewEffectiveness, duration, and failure patternsBleeding changes and client counselingLesson 2Emergency contraception options (levonorgestrel, ulipristal, copper IUD): mechanisms, time windows, effectiveness comparisons, interactions with breastfeeding and other methodsReviews emergency contraception options, including levonorgestrel, ulipristal, and copper IUD, with mechanisms, time windows, effectiveness, drug interactions, breastfeeding considerations, and counseling on ongoing contraception.
Indications and timing for EC useLevonorgestrel pill: dosing and useUlipristal acetate: use and cautionsCopper IUD as emergency contraceptionFollow-up and ongoing method planningLesson 3Key comparisons: typical effectiveness table, method switching, dual protection (STI prevention) and condom counselingProvides comparative effectiveness data, including typical use failure rates, guides safe switching between methods, and emphasizes dual protection with condoms for STI and HIV prevention, plus practical condom counseling skills.
Typical and perfect use effectiveness tablePrinciples for safe method switchingDual protection and STI preventionMale and female condom counselingAddressing condom myths and resistanceLesson 4Physiology of fertility, conception, lactational amenorrhea, and implications for method timingExplains normal fertility physiology, ovulation and conception, lactational amenorrhea criteria, and how these influence timing, safety, and effectiveness of initiating different contraceptive methods in postpartum women.
Menstrual cycle and ovulation overviewFertile window and conception basicsPhysiology of lactational amenorrheaLAM effectiveness and eligibility criteriaTransitioning from LAM to other methodsLesson 5Hormonal IUD: levonorgestrel IUD mechanism, relative bleeding profiles vs copper IUD, effectiveness, postpartum compatibility, and special cautionsDescribes levonorgestrel IUD mechanisms, comparative bleeding profiles versus copper IUD, effectiveness, noncontraceptive benefits, postpartum and post-abortion use, eligibility, and special cautions including infection and perforation risks.
LNG IUD mechanism and hormone releaseEffectiveness and duration of actionBleeding profile versus copper IUDPostpartum and post-abortion useSpecial cautions and follow-up needsLesson 6Contraceptive suitability by age, parity, medical comorbidities (smoking, obesity, hypertension) referencing WHO MEC and national guideline interpretationGuides assessment of contraceptive suitability by age, parity, and comorbidities such as smoking, obesity, hypertension, and diabetes, using WHO MEC and adapting national guidelines to individual client contexts.
Using WHO MEC categories in practiceAdolescents and nulliparous clientsClients over 35 and smokersObesity, hypertension, and diabetesAdapting national guidelines locallyLesson 7Progestin-only pills and injectables (DMPA/NET-EN): pharmacology, effectiveness, return-to-fertility, effects on lactation, side effects and counselingReviews pharmacology and use of progestin-only pills and injectables, including mechanisms, dosing schedules, effectiveness, return to fertility, lactation impact, side effects, eligibility, and key counseling messages for postpartum clients.
Progestin mechanisms and pharmacokineticsDosing schedules for POPs and injectablesEffectiveness and missed dose managementReturn to fertility after discontinuationEffects on lactation and infant outcomesLesson 8Combined oral contraceptives: mechanism, typical vs perfect use effectiveness, contraindications, side effects, and counseling points for postpartum/breastfeedingDetails combined oral contraceptive mechanisms, cycle control, typical versus perfect use effectiveness, contraindications using WHO MEC, side effects, drug interactions, and tailored counseling for postpartum and breastfeeding clients.
COC mechanism and cycle regulationTypical versus perfect use effectivenessMajor contraindications and risk screeningCommon side effects and managementPostpartum and breastfeeding counselingLesson 9Copper intrauterine device (IUD): mechanism, effectiveness, insertion timing (postpartum/post-placental), common adverse events, and counselingExplores copper IUD mechanism, nonhormonal benefits, effectiveness, timing of insertion including postpartum and post-placental, common adverse events, warning signs, follow-up, and counseling for diverse reproductive goals.
Copper IUD mechanism and local effectsEffectiveness and duration of protectionPostpartum and post-placental insertionCommon side effects and complication signsEligibility, contraindications, and counseling
