2015 Aug

Three-year continuation of reversible contraception
Diedrich JT, Zhao Q, Madden T, Secura GM, Peipert JF. Am J Obstet Gynecol. 2015 Aug 7 [Epub ahead of print]

Earlier, we showed that women using a LARC method were more likely to be using their method at 2 years than non-LARC users. At 3 years, we found similar findings. Continuation of LARC methods was significantly higher than non-LARC methods with the continuation of use for the two IUDs approaching 70%.
2015 Jun

Adolescent experiences with intrauterine device: A qualitative study
Schmidt EO, James A, Curran KM, Peipert JF, Madden T. J Adolesc Health. 2015 Jun 27 [Epub ahead of print]

In order to better understand why adolescents chose an IUD in the CHOICE Project, this study conducted focus groups with teens who used either the hormonal IUD or copper IUD. This qualitative study found multiple factors that were important to adolescents including effectiveness, duration of use, convenience and potential bleeding pattern changes. Incorporating these factors in contraceptive counseling is important when talking to young women about IUDs.
2015 Jun

Risk-based screening for Chlamydia trachomatis and Neisseria gonorrhoeae prior to intrauterine device insertion
Grentzer JM, Peipert JF, Zhao Q, McNicholas C, Secura GM, Madden T. Contraception. 2015 Jun 17 [Epub ahead of print]

This secondary analysis of the CHOICE Project found that risk-based screening strategy fro Chlamydia and Gonorrhea missed very few cases of infection which shows that universal screening may not be needed.
2015 Jul

Pharmacy claims data versus patient self-report to measure contraceptive method continuation
Treibwasser JE, Higgins S, Secura GM, Zhao Q, Peipert JF. Contraception. 2015 Jul;92(1): 26-30

Comparing self-report and pharmacy claims data, this analysis looks at 12-month continuation rates among pill, patch and ring users in the CHOICE Project. This analysis suggest that survey data tends to overestimate specific method use.
2015 May

Positive testing for Neisseria gonorrhoeae and Chlamydia trachomatis and the risk of pelvic inflammatory disease in IUD users
Birgisson NE, Zhao Q, Secura GM, Madden T, Peipert JF. J Womens Health (Larchmt). 2015 May;24(5): 354-9

There has been a concern that IUD use and infection among young and/or high-risk women may increase the risk of pelvic inflammatory disease (PID). This analysis of CHOICE Project participants found that the PID rate was 1% or below among IUD users showing that IUD use is safe for all woman including those at high risk for STIs.
2015 May

Preventing unintended pregnancy: The Contraceptive CHOICE Project in Review
Birgisson NE, Zhao Q, Secura GM, Madden T, Peipert JF. J Womens Health (Larchmt). 2015 May;24(5): 349-53

This review of the CHOICE Project provides a great timeline of events and looks at continuation rates at both 12-months and 24-months post enrollment.
2015 Jun

Fertility after intrauterine device removal: a pilot study
Stoddard AM, Xu H, Madden T, Allsworth JE, Peipert JF. Eur J Contracept Reprod Health Care. 2015 Jun;20(3): 223-30

Looking at time to contraception after birth control method discontinuation, this analysis of a subset of CHOICE participants found no difference in pregnancy rates between former IUD and non-IUD users.
2015 Mar

Use of the etonogestrel implant and levonogestrel intrauterine device beyond the U.S. food and drug administration - approved duration
McNicholas C, Maddipati R, Zhao Q, Swor E, Peipert JF. Obstet Gynecol. 2015 Mar;125(3):599-604

This preliminary analysis of the EPIC study found that both the contraceptive implant and hormonal IUD continue to be highly effective forms of birth control for an additional year beyond the FDA approved time duration.
2015 Jan

The role of contraceptive attributes in women's contraceptive decision making
Madden T, Secura GM, Nease RF, Politi MC, Peipert JF. Am J Obstet Gynecol. 2015 Jul;213(1):46.e1-6. Epub 2015 Jan 30

Ever wonder what factors contribute to a women's contraceptive decision? This analysis looks at what factors were improtant for women enrolling in the CHOICE Project.
2014 Oct

The Contraceptive CHOICE Project round up: what we did and what we learned
McNicholas C, Madden T, Secura G, Peipert JF. Clin Obstet Gynecol. 2014 Oct 3 [Epub ahead of print]

This review provides an overview of the CHOICE Project and highlights the major findings and impact on pregnancy and abortion rates.
2014 Oct

Provision of no-cost long-acting contraception and teen pregnancy
Secura GM, Madden T, McNicholas C, Mullersman J, Buckel CM, Zhao Q, Peipert JF. N Engl J Med. 2014 Oct 2; 371(14): 1316-23

Providing no-cost contraception to teens in the CHOICE Project dramatically reduced the teen pregnancy and abortion rate. Of the 1,404 teens in the project, 72% chose a LARC method. The teen pregnancy rate was 34.0 per 1,000 teens compared to the national average of 158.5 per 1,000 teens. Additionally, the abortion rate for teens in the CHOICE project was 9.7 per 1,000 teens compared to the national average of 41.5 per 1,000 teens.
2014 Sep

Contraceptive continuation in Hispanic women
Werth SR, Secura GM, Broughton HO, Jones ME, Dickey V, Peipert JF. Am J Obstet Gyencol. 2014 Sep 9 [Epub ahead of print]

Does ethnicity play a role in contraceptive choice, continuation and satisfaction? Researchers found that Hispanic women in the CHOICE Project were more likely to choose a LARC method when compared to non-Hispanic black and non-Hispanic white participants. Hispanic women also experienced high continuation and satisfaction rates with LARC methods, which is consistent with the findings from the entire CHOICE cohort.
2014 Sep

Association of age and parity with intrauterine device expulsion
Madden T, McNicholas C, Zhao Q, Secura GM, Eisenberg DL, Peipert JF. Obstet Gynecol. 2014 Sep 5 [Epub ahead of print]

The risk of an IUD expulsion among teens and women who have never had children is a common concern among medical professionals. This analysis of CHOICE Project data looked at the association of age and parity with IUD expulsion. Our researchers found no increased expulsion risk among women who have never had children, however, there was an increased risk among women ages 14-19. This expulsion risk among teens is still less than the risk of discontinuation with a shorter-acting method.
2014 Aug

Performance of a checklist to exclude pregnancy at the time of contraceptive initiation among women with a negative urine pregnancy test
Min J, Buckel C, Secura GM, Peipert JF, Madden T. Contraception. 2014 Aug 8 [Epub ahead of print]

Clinicians must be able to accurately rule out current pregnancy before providing LARC methods to patients. This analysis evaluated the performance of a six-item checklist designed to exclude a current pregnancy. The checklist correctly identified 78% of the women who were pregnant at enrollment and accurately excluded pregnancy in 69% of the women who were not pregnant. Therefore, contraception, including IUDs and implants, can be provided at the initial clinic visit for the majority of patients.
2014 Jul

Association of short-term bleeding and cramping patterns with long-acting reversible contraceptive method satisfaction
Diedrich JT, Desai S, Secura G, Madden T, Peipert JF. Am J Obstet Gynecol. 2014 Jul 18 [Epub ahead of print]

This analysis looked at examining the short-term bleeding and cramping patterns with LARC methods and how these patterns were associated with method satisfaction. Satisfaction at both 3- and 6-months was very high.
2014 Apr

Change in sexual behavior with provision of no-cost contraception
Secura GM, Adams T, Buckel CM, Zhao Q, Peipert JF. Obstet Gynecol. 2014 Apr; 123(4): 771-6

Does access to no-cost contraception increase sexual risk-taking behavior? Taking a look at CHOICE Project data, this analysis found that access to no-cost contraception did not lead to an increase in multiple sex partners, nor did it lead to an increase in Chlamydia or Gonorrhea infection at 12 months.
2013 Nov

Medical contraindications in women seeking combined hormonal contraception
Xu H, Eisenberg DL, Madden T, Secura GM, Peipert JF. Am J Obstet Gynecol. 2014 Mar;210(3): 210.e1-5. Epub 2013 Nov 16

Between August 2007 and December 2009, 5087 women who enrolled in the CHOICE Project provided information about their medical history and 1010 women desired combined hormonal contraception (CHC) in the form of pills, patch and ring at baseline. After chart review, only 24 of 1010 participants desiring CHCs were found to have true medical contraindications to them. This low prevalence supports providing women CHCs without a prescription.
2013 Nov

Characteristics associated with discontinuation of long-acting reversible contraception within the first 6 months of use
Grunloh DS, Casner T, Secura GM, Peipert JF, Madden T. Obstet Gynecol. 2013 Dec; 122(6): 1214-21. Epub 2013 Nov 6

There is a hesitation to insert LARC methods for the fear of women discontinuing their method within 6-12 months of use. Our researchers looked at 6-month continuation data among LARC users and found that less than 10% of women stopped their method at 6 months. They also found this to be true for teens suggesting that LARC methods should be considered first line contraceptive options for women of any age.
2013 Oct

Twenty-four-month continuation of reversible contraception
O'Neil-Callahan M, Peipert JF, Zhao Q, Madden T, Secura G. Obstet Gynecol. 2013 Nov; 122(5):1083-91. Epub 2013 Oct 7

In an earlier paper we showed that more women in CHOICE were using their LARC method at 1 year than women using some other method. This analysis takes a look at what CHOICE participants were using at 2 years of follow-up and we found the same thing. Many more women were still using their LARC method at 2 years (77%) than women using a non-LARC method (41%). This was also true for teens in the Project where two-thirds of teens were using their LARC method compared to only one-third of teens who were still using the pill, patch, ring or shot.
2013 Aug

The impact of emotional, physical, and sexual abuse on contraceptive method selection and discontinuation
Allsworth JE, Secura GM, Zhao Q, Madden T, Peipert JF. Am J Public Health. 2013 Oct; 103(10): 1857-64. Epub 2013 Aug 15

Unfortunately, violence among women is common. In fact, one-third of women enrolled in CHOICE reported experiencing some abuse in their lifetimes. This article describes when the abuse occurred, the type of abuse, and whether history of abuse had an impact on the type of birth control method a woman chooses and how long she uses the method.
2013 Jul

Sexually transmitted infection prevalence in a population seeking no-cost contraception
McNicholas C, Peipert, JF, Maddipati R, Madden T, Allsworth JE, Secura GM. Sex Transm Dis. 2013 Jul; 40(7): 546-51

As part of the CHOICE Project, all participants were offered testing for the most common sexually transmitted infections. This article reports that 8% had one or more infections at the time they enrolled. More importantly 16% of those women would not have been screened based on current guidelines and demonstrates that age and risk-based guidelines can miss women who are infected yet asymptomatic.
2013 Jun

Long-acting reversible contraception: a practical solution to reduce unintended pregnancy
Secura, G. Minerva Ginecol. 2013 Jun; 65(3): 271-7.

This review provides the most current data available on LARC methods, the key barriers patients face in obtaining these methods and how addressing these barriers can help address the unmet contraceptive needs of women abroad.
2013 Apr

Letter to the editor: in reply
Peipert J, Madden T, Allsworth JE, Secura G. Obstet Gynecol. 2013 Apr; 121(4): 875

In response to a critique that claims CHOICE results overestimate the effect on overall abortion rates, our researchers reiterate the objective of the CHOICE Project was to evaluate changes in: 1) teen pregnancy rates and 2) repeat abortion rates in the St. Louis area. We respond that CHOICE successfully reduced both rates.
2013 Apr

Cost as a barrier to long-acting reversible contraceptive (LARC) use in adolescents
Eisenberg D, McNicholas C, Peipert JF. J Adolesc Health. 2013 Apr; 52(4 Suppl): S59-63.

Although LARC methods are cost effective, the initial upfront cost can be a burden for many women who want to use these methods. Teens may experience even greater difficulty and as a result are unable to access the most effective methods of contraception. Our researchers reviewed the literature and have presented a framework for understanding the variety of factors that play a role in adolescents accessing contraception.
2013 Mar

Contraceptive failures in overweight and obese combined hormonal contraceptive users
McNicholas C, Zhao Q, Secura G, Allsworth JE, Madden T, Peipert JF. Obstet Gynecol. 2013 March; 121(3): 585-592

With the epidemic of obesity continuing to grow, there is a concern that combined hormonal contraceptives may be less effective in overweight or obese women. To examine this concern, this study looked at data for 1,523 women who chose the pill, patch or ring and were followed for 2-3 years. Our researchers found that overweight and obese women were no more likely to get pregnant than normal weight women using these methods. This research suggests that these methods are still effective methods for all women and contraceptive counseling should not be altered based on a woman's BMI.
2013 Mar

Weight change at 12 months in users of three progestin-only contraceptive methods
Vickery Z, Madden T, Zhao Q, Secura GM, Allsworth JE, Peipert JF. Contraception. 2013 Oct; 88(4):503-8. Epub 2013 Mar 18

Potential weight gain is an important consideration among women seeking contraception. Few studies have looked at weight gain among women using newer forms of contraception such as the IUDs or the arm implant. This study investigated if there was a change in weight at 12 months among women using the hormonal IUD, arm implant and birth control shot compared to women using the copper IUD. The range of weight change for each method was wide suggesting that multiple factors contribute to weight change, rather than the contraceptive method.
2013 Feb

Factors associated with 12-month discontinuation among contraceptive pill, patch, and ring users
Stuart JE, Secura GM, Zhao Q, Pittman ME, Peipert JF. Obstet Gynecol. 2013 Feb; 121(2 Pt 1): 330-6

A vast majority of unintended pregnancies occur due to user noncompliance and discontinuation of less effective methods of birth control such as the pill, patch or ring. In order to understand reasons for discontinuation, CHOICE researchers analyzed data from 1,452 women who chose the pill, patch or ring as their method of contraception at time of enrollment. Reasons for discontinuation varied; however, the need for better contraceptive counseling and easier access to methods could help users continue with their methods and reduce unintended pregnancy rates.
2012 Dec

Continuation of reversible contraception in teenagers and young women
Rosenstock J, Peipert JF, Madden T, Zhao Q, Secura GM. Obstet Gynecol. 2012 Dec; 120(6): 1298-305

Are teenagers and young women more likely to discontinue their birth control methods? This study sought to answer this common question. By comparing 12-month continuation rates among 7,472 participants in the CHOICE Project, we found that teenagers and young women had higher continuation rates with LARC method than shorter-acting methods.
2012 Nov

Cervical lidocaine for IUD insertional pain: a randomized controlled trial
McNicholas CP, Madden T, Zhao Q, Secura GM, Allsworth JE, Peipert JF. Am J Obstet Gyencol. 2012 Nov; 207(5): 384.e1-6

There is concern among providers that perceived insertion pain is a barrier for women seeking IUDs. This study looked at using lidocaine gel as means of pain relief for women undergoing IUD insertions. The result? Read the full abstract by clicking the link below.
2012 Oct

Validity of perceived weight gain in women using long-acting reversible contraception and medroxyprogesterone acetate
Nault AM, Peipert JF, Zhao Q, Madden T, Secura GM. Am J Obstet Gyencol. 2013 Jan; 208(1): 48.e1-8. Epub 2012 Oct 24

Some women are concerned about birth control and weight gain. This study examined the link between long-acting methods and the birth control shot and perceived weight gain among women enrolled in the CHOICE Project. Arm implant and birth control shot users were more likely to perceive weight gain over time.
2012 Nov

Continuation of the etonogestrel subdermal implant in women undergoing immediate postabortion placement
Madden T, Eisenberg DL, Zhao Q, Buckel CM, Secura GM, Peipert JF. Obstet Gynecol. 2012 Nov; 120(5): 1053-9

This analysis examined if women who received an arm implant after an abortion were more likely to discontinue their method than women who receive the method at a time not related to a recent pregnancy. Both groups had similar continuation rates suggesting that postabortion long-acting method insertion should be considered to reduce unintended pregnancy and repeat abortion.
2012 Nov

A randomized trial of home versus clinic-based STD testing among men
Reagen MM, Xu H, Shih SL, Secura GM, Peipert JF. Sex Transm Dis. 2012 Nov; 39(11): 842-7

Finding new and innovative ways to increase testing for chlamydia and gonorrhea is a challenge in today's world. This study looked to test the acceptability and effectiveness of home-based STI testing vs. clinic-based testing among men. The big idea? Better screening and treatment in men could reduce infection in women. Read the full abstract to find out the result!
2012 Oct

Preventing unintended pregnancies by providing no-cost contraception
Peipert JF, Madden T, Allsworth JE, Secura GM. Obstet Gynecol. 2012 Dec; 120(6): 1291-7. Epub 2012 Oct 3

Providing no-cost birth control to women substantially reduces abortions and teen births. The CHOICE Project found from 2008-2010, the annual abortion rates among study participants ranged from 4.4 to 7.5 per 1,000 women compared to the national rate of 19.6 abortions per 1,000 women. CHOICE also saw a drastic reduction in teen birth rates compared to national data. Curious about the numbers? Click the link below for more information!
2012 Oct

Predictors of male partner treatment for sexually transmitted infection
Secura GM, Desir FA, Mullersman JL, Madden T, Allsworth JE, Peipert JF. Sex Transm Dis. 2012 Oct; 39(10): 769-75

Partner-initiated notification of sexually transmitted infection is a common practice used to reduce STI transmission and reinfection. In the CHOICE Project, we offered participants free testing for gonorrhea, chlamydia and trichomoniasis, and free treatment for her and any partners. The male partner treatment rate for the CHOICE Project was low and highlights the need to create new interventions to increase treatment in male partners to reduce the spread of STIs.
2012 Aug

Structured contraceptive counseling provided by the Contraceptive CHOICE Project
Madden T, Mullersman JL, Omvig KJ, Secura GM, Peipert JF. Contraception. 2013 Aug; 88(2): 243-9. Epub 2012 Jul 8.

Providing structured contraceptive counseling is a key factor in removing the education barrier to contraception. The CHOICE Project developed a counseling model that was administered those who had no prior healthcare experience or clinical training. Learn more about our method by clicking the link below.
2012 Jul

Long-acting reversible contraception for adolescents
McNicholas C, Peipert JF. Curr Opin Obstet Gynecol. 2012 Oct; 24(5): 293-8. Epub 2012 Jul 8.

Teen pregnancy is a major concern in the United States. Increasing access to longer-acting contraceptive methods can help reduce the rate of unintended pregnancy among this population. Teen users of LARC methods have reported to be happier with their methods and also report using these methods for a longer period of time when compared to other methods like the pill, patch or ring. In this article, our reviewers suggest that LARC methods should be considered first-line options for teens and provides data to support this opinion.
2012 Jul

Immediate postabortion intrauterine device insertion: continuation and satisfaction
McNicholas C, Hotchkiss T, Madden T, Zhao Q, Allsworth JE, Peipert JF. Womens Health Issues. 2012 Jul; 22(4): e365-9

Having the ability to receive an IUD immediately after an abortion procedure can significantly decrease the unintended pregnancy rate in the U.S. Although it is difficult to follow up with this population, our researchers found that women who did receive an IUD immediately following their procedure had very high satisfaction and continuation rates with their method. Curious as to how this affected the repeat abortion rate? Click the link below to find out!
2012 Jun

Contraceptive failure rates of etonogestrel subdermal implants in overweight and obese women
Xu H, Wade JA, Peipert JF, Zhao Q, Madden T, Secura GM. Obstet Gyencol. 2012 Jul; 120(1): 21-6. Epub 2012 Jun 6

Nearly two thirds of all reproductive-aged women in the U.S. are overweight or obese. After initial clinical trials, it was unclear if the subdermal arm implant maintained its effectiveness with women in these two groups. Our researchers took on this question by analyzing data for over 1,100 women and found that there was no connection between weight and effectiveness for the arm implant.
2012 May

Effectiveness of long-acting reversible contraception
Winner B, Peipert JF, Zhao Q, Buckel C, Madden T, Allsworth JE, Secura GM. N Engl J Med. 2012 May 24; 366(21): 1998-2007

Over our multi-year study, we found that long-acting reversible contraceptive methods are 20 times as effective at preventing pregnancy than the pill, patch and ring. LARC effectiveness did not vary based on age. But, for women using the pill, patch or ring age did matter. Women under 21 had a failure rate that was nearly double the failure rate for older women. Thirsty for more? Click the link below!
2012 Apr

Knowledge of contraceptive effectiveness
Eisenberg DL, Secura GM, Madden TE, Allsworth JE, Zhao Q, Peipert JF. Am J Obstet Gynecol. 2012 Jun; 206(6): 479.e1-9. Epub 2012 Apr 6

Ever wonder how much women know about the effectiveness of their contraceptive method? This study looked to find out just that. Although women were sexually experienced and understood their risk of pregnancy, there were gaps in knowledge of contraceptive effectiveness. Find out how knowledge of effectiveness compared among the different methods!
2012 Mar

Risk of bacterial vaginosis in users of the intrauterine device: a longitudinal study
Madden T, Grentzer JM, Secura GM, Allsworth JE, Peipert JF. Sex Transm Dis. 2012 Mar; 39(3): 217-22

Bacterial Vaginosis (BV) and IUDs? To find out if these two were linked, researchers followed women using all different methods of birth control to compare whether or not IUD users developed BV more often. Having an IUD did not increase a woman's risk for getting BV, but there was one factor that did. What factor you ask? Click the link below to find out!
2012 Feb

Factors associated with screening for sexually transmitted infections
Skala SL, Secura GM, Peipert JF. Am J Obstet Gynecol. 2012 Apr; 206(4): 324.e1-6. Epub 2012 Feb 28

Women using longer-acting contraceptive methods may be less likely to screen annually for STIs. This study looked to see if this was true among women in the CHOICE Project. Turns out using a LARC method did not affect how often a woman got tested. Find out what other factors played a role in STI testing by following the link below.
2012 Feb

Correlates of dual-method contraceptive use: an analysis of the National Survey of Family Growth (2006-2008)
Eisenberg DL, Allsworth JE, Zhao Q, Peipert JF. Infect Dis Obstet Gynecol. 2012; Epub 2012 Feb 14

Sexually transmitted infections (STIs) and unintended pregnancy are two major public health issues today. In this study, researchers found that a small proportion of women in these high-risk groups actually used a dual-method approach, which can include using condoms along with their regular method of birth control. This review suggests that educational models should include a component on dual method use for women to better understand their risk for unintended pregnancy and STIs.
2011 Dec

Comparison of contraceptive method chosen by women with and without a recent history of induced abortion
Madden T, Secura GM, Allsworth JE, Peipert JF. Contraception. 2011 Dec; 84(6): 571-7

Are women with a history of an abortion more likely to choose a longer-acting method of birth control? This study found that women were only more likely to choose a longer-acting method if they were able to receive the method immediately after their procedure. Increasing access to these methods immediately after a procedure is a key step to reducing unintended pregnancy and repeat abortion rates.
2011 Nov

Acceptance of long-acting reversible contraceptive methods by adolescent participants in the Contraceptive CHOICE Project
Mestad R, Secura GM, Allsworth JE, Madden T, Zhao Q, Peipert JF. Contraception. 2011 Nov; 84(5): 493-8

Long-acting birth control methods are the most effective methods on the market, and are safe for teens to use. In this study, our researchers show that adolescents have a high acceptance rate of all three long-acting reversible contraceptive methods with younger teens (ages 14-17) preferring the arm implant to the IUDs.
2011 Nov

Baseline correlates of inconsistent and incorrect condom use among sexually active women in the Contraceptive CHOICE Project
Shih SL, Kebodeaux CA, Secura GM, Allsworth JE, Madden T, Peipert JF. Sex Transm Dis. 2011 Nov; 38(11): 1012-9

Researchers looked at what factors played a role in inconsistent and incorrect condom use among women in the CHOICE Project. Since inconsistent and incorrect use is common within this group, educational and preventive efforts should be targeted to groups at highest risk for STIs and unintended pregnancy.
2011 Sep

Naproxen or estradiol for bleeding and spotting with the levonogestrel intrauterine system: a randomized controlled trial
Madden T, Proehl S, Allsworth JE, Secura GM, Peipert JF. Am J Obstet Gyencol. 2012 Feb; 206(2): 129.1-8. Epub 2011 Sep 24

In this study, women were randomly assigned to use naproxen (ibuprofen), an estradiol patch, or a placebo after the insertion of their hormonal IUD. The purpose? To find out if these methods could help reduce irregular bleeding within the first few months of using the IUD. The result? Click the link below to find out!
2011 Sep

Perceived racial, socioeconomic and gender discrimination and its impact on contraceptive choice
Kossler K, Kuroki LM, Allsworth JE, Secura GM, Roehl KA, Peipert JF. Contraception. 2011 Sep; 84(3): 273-9

Fifty seven percent of CHOICE participants reported having experienced discrimination in their past based on gender, race, or socioeconomic status. While these women had higher rates of birth control use overall before entering the project, they were also more likely to be using less effective methods such as condoms, natural family planning, or withdrawal. When financial, structural, and educational barriers to birth control were removed in the CHOICE Project, women who had experienced discrimination overwhelmingly chose longer-acting methods.
2011 May

Efficacy and safety of long-acting reversible contraception
Stoddard A, McNicholas C, Peipert JF. Drugs. 2011 May 28; 71(8): 969-80.

This article gives a comprehensive review of the available LARC methods in the United States. Researchers also dispel myths surrounding these methods that are commonly held by providers and patients along with barriers to accessing these methods.
2011 May

Family planning as a cost-saving preventive health service
Cleland K, Peipert JF, Westhoff C, Spear S, Trussell J. N Engl J Med. 2011 May 5; 364(18): e37

Contraception can be a cost-effective, preventative health service. This review explains that making birth control methods affordable can help support healthy families. By implementing greater access and eliminating cost-sharing for contraceptive methods we can increase the use of the most effective methods of birth control: IUDs and implants
2011 May

Continuation and satisfaction of reversible contraception
Peipert JF, Zhao Q, Allsworth JE, Petrosky E, Madden T, Eisenberg D, Secura GM. Obstet Gynecol. 2011 May; 117(5): 1105-13

Our researchers found that after a year of use, women using the IUD and arm implant had the highest rates of satisfaction and continuation. Find out how other methods such as the pill, patch, ring and shot compared.
2011 May

Comparison of contraceptive use between the Contraceptive CHOICE Project and state and national data
Kittur ND, Secura GM, Peipert JF, Madden T, Finer LB, Allsworth JE. Contraception. 2011 May; 83(5): 479-85

How do the women in the CHOICE Project compare to women in Missouri or nationally? Overall, there were few differences found in this analysis, however the LARC uptake in the CHOICE Project was higher suggesting that cost and access barriers may contribute to the low LARC rate in the United States.
2011 Apr

Understanding prescription adherence: pharmacy claims data from the Contraceptive CHOICE Project
Pittman ME, Secura GM, Allsworth JE, Homco JB, Madden T, Peipert JF. Contraception. 2011 Apr; 83(4): 340-5

This study provides insight into important factors of prescription adherence among the CHOICE Project population. When women don't have to worry about the cost of a method, are women more likely to refill their prescriptions on time?
2011 Feb

Home versus clinic-based specimen collection for Chlamydia trachomatis and Neisseria gonorrhoeae.
Graseck AS, Shih SL, Peipert JF. Expert Rev Anti Infect Ther. 2011 Feb; 9(2): 183-94

Another look at the benefits of home-based STI testing, but this time looking at different home screening strategies that target young individuals through various approaches.
2011 Feb

Screening for sexually transmitted infections at home or in the clinic?
Shih SL, Graseck AS, Secura GM, Peipert JF. Curr Opin Infect Dis. 2011 Feb; 24(1): 78-84

This literature review looks at home-based testing for sexually transmitted infections compared to clinic-based testing. The result? More evidence to support home-based STI testing including a look at cost-effectiveness.
2011 Jan

Women's knowledge about intrauterine contraception
Hladky KJ, Allsworth JE, Madden T, Secura GM, Peipert JF. Obstet Gynecol. 2011 Jan; 117(1): 48-54

Safety, effectiveness and ease of use are all important characteristics for women seeking birth control, which are also characteristics of intrauterine devices (IUDs). So how much do women know about the methods that have all three of these characteristics? Our researchers surveyed women in the St. Louis area to find out how much they knew about the most effective methods of birth control. Click below to find out the results!
2010 Dec

Home compared with clinic-based screening for sexually transmitted infections: a randomized controlled trial
Graseck AS, Secura GM, Allsworth JE, Madden T, Peipert JF. Obstet Gynecol. 2010 Dec; 116(6): 1311-8

Since long-acting reversible contraceptives (LARCs) can last anywhere from 3-10 years, some practitioners worry that women using these methods may not always present for regular healthcare visits along with regular screening for sexually transmitted infections. To determine if home-based screening for sexually transmitted infections would result in a high screening completion rate, this study randomized women to home-based testing or clinic testing. The result? Click the link below to find out!
2010 Sep

The Contraceptive CHOICE Project: recruiting women at highest risk for unintended pregnancy and sexually transmitted infection
Spain JE, Peipert JF, Madden T, Allsworth JE, Secura GM. J Womens Health (Larchmt). 2010 Dec; 19(12): 2233-8. Epub 2010 Sept 11.

Women who are younger, minority and low-income are at higher risk for unintended pregnancy. By collaborating with community partners, the CHOICE Project was able to reach these high-risk groups and help reduce the unintended pregnancy rate. Read more to find out how!
2010 Jun

The Contraceptive CHOICE Project: reducing barriers to long-acting reversible contraception
Secura GM, Allsworth JE, Madden T, Mullersman JL, Peipert JF. Am J Obstet Gynecol. 2010 Aug; 203(2): 115.e1-7. Epub 2010 Jun 11

Learn more about the earlier stages of the CHOICE Project! This article looks at the first 2,500 women who enrolled in the project and presents their contraceptive method choice along with demographic, reproductive and behavioral characteristics of our participants.
2010 Apr

Home screening compared with clinic-based screening for sexually transmitted infections
Graseck AS, Secura GM, Allsworth JE, Madden T, Peipert JF. Obstet Gynecol. 2010 Apr; 115(4): 745-52

Regular screening for sexually transmitted infections (STIs) is recommended for women ages 25 years and younger. Lack of access to healthcare and health insurance creates barriers for women who want to get tested, which can lead to repeat infections and adverse health issues for untreated infections. Read how CHOICE researchers sought to reduce these barriers by examining the acceptability and completion rate of home-based STI testing kits.
2010 Apr

Association between tampon use and choosing the contraceptive vaginal ring
Tepe M, Mestad R, Secura G, Allsworth JE, Madden T, Peipert JF. Obstet Gynecol. 2010 Apr; 115(4): 735-9

If a woman uses a tampon, is she more likely to choose the vaginal ring for birth control? Researchers found that women who have used tampons are 34% more likely to choose the contraceptive ring than the birth control pill when given all their options. However, it is important to remember that tampon use should not be the only factor when recommending or considering use of the vaginal ring.
2010 Jun

Bacterial vaginosis and sexual transmission: issues of causation
Allsworth JE. Sex Transm Dis. 2010 Mar; 37(3): 137-9

This editorial reviews a study that tries to determine 2 major questions regarding Bacterial Vaginosis (BV): 1) is it possible for BV to be considered a sexually transmitted infection and 2) how does the race of the male partner play a role in BV risk.
2010 Feb

Intrauterine contraception in Saint Louis: a survey of obstetrician and gynecologists’ knowledge and attitudes.
Madden T, Allsworth JE, Hladky KJ, Secura GM, Peipert JF. Contraception. 2010 Feb; 81(2): 112-6

Myths surrounding intrauterine devices (IUDs) are not limited to the general public. This study surveyed Saint Louis area obstetricians and gynecologists to better understand knowledge and attitudes about IUDs. Turns out, physician misconceptions regarding the risks of IUDs still occur today. Improving clinician education is an important step to increasing access to effective and longer-acting birth control methods.
2009 Jan

Trichomoniasis and other sexually transmitted infections: results from the 2001-2004 national health and nutrition examination surveys.
Allsworth JE, Ratner JA, Peipert JF. Sex Transm Dis. 2009 Dec; 36(12): 738-44

Despite the risk associated with trichomoniasis (TV or trich), this sexually transmitted infection (STI) is still not considered a reportable infection and not always included in a routine check-up. This study looked to see if other STIs would be associated with the presence of trich. Some associations were identified suggesting that routine screening can reduce the risk of trich and further infection with other STIs.
2009 Dec

Reasons for ineffective pre-pregnancy contraception use in patients seeking abortion services.
Homco JB, Peipert JF, Secura GM, Lewis VA, Allsworth JE. Contraception. 2009 Dec; 80(6): 569-74

Being compliant with contraceptive use can be complex. This study looked at what birth control method was used at the time of an unintended pregnancy and identified barriers to birth control among women seeking abortion services. Reasons varied from individual-level to institutional barriers. They found removing these barriers can help to reduce rates of unintended pregnancy and pregnancy termination.

Washington University School of Medicine Logo