CMAJ • March 27, 2007; 176 (7). doi:10.1503/cmaj.060851.
© 2007 Canadian Medical Association or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
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Right arrow Family planning, contraception

Review

Contraception in Canada: a review of method choices, characteristics, adherence and approaches to counselling

William A. Fisher and Amanda Black

From the Departments of Psychology and of Obstetrics and Gynaecology (Fisher), University of Western Ontario, London, Ont., and the Department of Obstetrics and Gynaecology (Black), University of Ottawa, Ottawa, Ont.

Correspondence to: Dr. William A. Fisher, Departments of Psychology and of Obstetrics and Gynaecology, Rm. 6430, Social Science Centre, University of Western Ontario, London ON N6A 5C2; fax 519 661-4139; fisher{at}uwo.ca

Abstract

Contraception is a significant concern for Canadian women of child-bearing age, their partners and their health care providers. In this narrative review we provide information on current trends and recent changes in Canadians' choices of contraceptive methods. We review the characteristics of contraceptive methods available in Canada, with an emphasis on hormonal methods and newer options such as the transdermal contraceptive patch, the vaginal contraceptive ring and the levonorgestrel-releasing intrauterine system. We also discuss adherence to contraception as well as approaches to counselling to promote adherence and to reduce the risk of sexually transmitted infections in the context of contraception.




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