in this context, refers to patients assigned male at birth who are
having sex with women.
Males are increasingly recognized as a key part of preventing unintended pregnancies, as well as planning and supporting healthy pregnancies. Several strategies can be used to increase their involvement in the spacing and timing of pregnancies.
- Order condoms in bulk to receive price discounts
- Make condoms available in restrooms and at the front desk. This allows patients access at no cost to them and without an appointment or use of clinic staff.
- Offer condoms to males and females at a variety of visit types/
- Make available various types of condoms (latex and non-latex; lubricated and non-lubricated; different sizes).
- Demonstrate to patients the best techniques for applying and removing condoms using a penile model.
- Discuss dual protection of methods (condoms provide excellent back-up to other contraceptive methods and are the only contraceptive method that also protects against the transmission of STIs).
Strategies specific to Vasectomy Services
- Obtain a memorandum of understanding (MOU) or formal contract with a partner organization to accept referrals for vasectomy.
- Ensure the MOU/contract addresses the provision of services across payer sources. Ensure the MOU/contract addresses who will perform the pre-procedure counseling; post-procedure semen analysis; and deal with any complications/emergencies.
- Provide patient with counseling on vasectomy, including the permanent nature of the method, to ensure appropriate referral is made.
- To prevent delays, obtain patient consent for sterilization using the federal sterilization consent form.
- Fax or email the signed consent form and relevant medical information to the referred clinician.
- At the time the patient requests the service, offer to call and schedule an appointment with the referred clinician.
- Follow-up on referral as described in Component 3.3: Linkages to Primary Care and/or Chronic Disease Care Management Services.
- Accept referrals for vasectomies from outside agencies and across payer sources
- Ensure that patient instructions after the procedure include direction for after hours’ emergencies, interim contraception and post-procedure semen analysis.
- Have a system in place to obtain and follow up as needed on post-procedure semen analysis.
- Follow nationally-recognized recommendations for all aspects of the procedure.
- Ensure that referrals received are tracked. As appropriate, share information with the referring provider.
- Providing Quality Family Planning Services (QFP), Recommendations of CDC and U.S. Office of Population Affairs, 2014, pages 15 and 23: http://www.cdc.gov/mmwr/pdf/ rr/rr6304.pdf
- American Urology Association (AUA) vasectomy guidelines: http://www.auanet.org/education/guidelines/vasectomy.cfm