Birth Control Project

Thank you for your interest in participating.

Your clinician should have given you a handout with some information about your health and the method that was prescribed to you. Please refer to the handout and think about that recent visit when answering the following questions.

What method were you prescribed at your recent (may be today) visit to the clinic? Please refer to the handout that your clinician gave you and be sure to check the exact box that is marked on the form.

101= Balziva, Femcon Fe, Ovcon 35, Zenchent, Zeosa
Norethindrone 0.4mg/Ethinyl Estradiol 35mcg
102= Junel 21 1/20, Junel Fe 1/20, LoEstrin 1/20,
LoEstrin Fe 1/20, Microgestin 1/20, Microgestin Fe 1/20
Norethindrone 1mg/Ethinyl Estradiol 20mcg
103= Brevicon, Modicon, Necon 0.5/35, Nortel
Norethindrone 0.5mg/Ethinyl Estradiol 35mcg
104= Necon 1/35, Norethin 1/35, Norinyl 1+35,
Nortel 1/35, Ortho-Novum 1/35
Norethindrone 1mg/Ethinyl Estradiol 35mcg
105= Junel 21 1.5/30, Junel Fe 1.5/30, LoEstrin 1.5/30,
LoEstrin Fe 1.5/30, Microgestin 1.5/30, Microgestin Fe 1.5/30
Norethindrone 1.5mg/Ethinyl Estradiol 30mcg
106= Mononesessa, Ortho-Cyclen, Previfem, Sprintec
Norgestimate 0.25mg/Ethinyl Estradiol 35mcg
107= Cryselle, LoOvral, Low-Ogestrel
Norgestrel 0.3mg/Ethinyl Estradiol 30mcg
108= Levlen, Levora, Nordette, Portia, Quasense,
Jolessa, Chateal, Seasonale, Seasonique
Levonorgestrel 0.15mg/Ethinyl Estradiol 30mcg
109= Apri, Desogen, Ortho-Cept, Reclipsen, Solia
Desogestrel 0.15mg/Ethinyl Estradiol 30mcg
110= Aleese, Aviane, Lessina, Levlite, Lutera, Sronyx
Levonorgestrel 0.1mg/Ethinyl Estradiol 20mcg
111= Enpresse, Tri-Levlen, Triphasil, Trivora
Levonorgestrel 0.05/0.075/0.125mg/Ethinyl Estradiol 30/40/30mcg
112= Ortho-Novum 7/7/7, Necon 7/7/7, Nortel 7/7/7
Norethindrone 0.5mg/0.75mg/1mg/Ethinyl Estradiol 35mcg
113= Ortho Tri-Cyclen Lo
Norgestimate 0.18/0.215/0.25/Ethinyl Estradiol 25mcg
114= Ortho Tri-Cyclen, Trinessa, Tri-Previfem, Tri-Sprintec
Norgestimate 0.18/0.215/0.25/Ethinyl Estradiol 35mcg
115= Cyclessa, Velivet, Cesia
Desogestrel 0.10/0.125/0.15mg/Ethinyl Estradiol 25mcg
116= Camila, Errin, Jolivette, Micronor, Nor-QD, Nora-Be
Norethindrone 0.35mg
117= Other: Q_id=259
201= Depo Provera Shot 150 mg IM
202= Depo Provera Shot 104 mg SQ
203= NuvaRing
204= OrthoEvra Patch
205= Implanon
206= Nexplanon
207= Mirena IUD
208= Paragard IUD
209= Skyla IUD
301= Condoms
302= Withdrawal
303= Natural Family Planning
304= Male Sterilization (vasectomy)
305= Female Sterilization
(tubal ligation, "tubes tied", Essure)
306= Other Barrier Methods
(e.g. diaphragm, cervical cap, sponge)
307= None