Learn all about non-barrier contraceptives including intrauterine devices, implants, injectables, pills, vaginal rings, and transdermal patches.

This episode was written by pediatricians Tammy Yau and Lidia Park with content support from Adrienne Hong (family medicine). Pediatricians Tammy and Lidia take full responsibility for any errors or misinformation.

Follow us on Twitter/X @Pediagogypod, Instagram/Threads @pediagogy, Bluesky @pediagogypodcast.bluesky.social, and connect with us at pediagogypod@gmail.com

Key points:

• Intrauterine devices and implants are the most effective contraceptives at preventing pregnancy
• Non-barrier contraceptives do not protect against sexually transmitted infections
• Combined progestin-estrogen contraceptives are contraindicated in those with migraines, severe hypertension, severe liver disease, sickle cell disease, lupus, history of thromboembolism or stroke, and other diseases that increase the risk for thrombosis
• Emergency contraception includes oral ulipristal, oral levonorgestrel, and IUDs and should be taken with 72-120 hours after unprotected sexual intercourse. Only oral levonorgestrel is available without a prescription.

Source:

• Pediatrics July 2025: https://publications.aap.org/pediatrics/article/156/1/e2025072218/202151/Contraceptive-Counseling-and-Methods-for
• Pediatrics August 2020: https://publications.aap.org/pediatrics/article/146/2/e2020007252/36888/Long-Acting-Reversible-Contraception-Specific?autologincheck=redirected
• Pediatrics August 2020: http://doi.org/10.1542/peds.2020-007237
• ACOG 2025: https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2015/09/emergency-contraception

Having “the talk” with your teenage patients? Learn how to navigate discussing sexual intercourse and contraception in this 2 part episode.

This episode was written by pediatricians Tammy Yau and Lidia Park with content support from Adrienne Hong (family medicine). Pediatricians Tammy and Lidia take full responsibility for any errors or misinformation.

Follow us on Twitter/X @Pediagogypod, Instagram/Threads @pediagogy, Bluesky @pediagogypodcast.bluesky.social, and connect with us at pediagogypod@gmail.com

Key points:

• Maintain an open dialogue with patients when discussing sexual history. Include the 5 P’s - partners, practices, protection from STIs, past history of STIs, and pregnancy intention.
• Barrier contraceptives include external condoms, internal condoms, latex sheets or dental dams, diaphragms, cervical caps, sponges, spermicides, and vaginal pH modulators.
• Condoms can protect against sexually transmitted infections (STIs) and pregnancy while diaphragms, cervical caps, sponges, spermicides, and vaginal pH modulators protect against pregnancy only and not STIs

Source:

• Pediatrics July 2025: https://publications.aap.org/pediatrics/article/156/1/e2025072218/202151/Contraceptive-Counseling-and-Methods-for
• Pediatrics August 2020: https://publications.aap.org/pediatrics/article/146/2/e2020007252/36888/Long-Acting-Reversible-Contraception-Specific?autologincheck=redirected
• Pediatrics August 2020: http://doi.org/10.1542/peds.2020-007237
• ACOG: Barrier Methods of Birth Control: Spermicide, Condom, Diaphragm, and Cervical Cap | ACOG

In this episode we learn how to recognize concerning bruising using the TEN-4-FACESp rule. TEN-4-FACESp is an important rule that teaches us to recognize abnormal bruising and is a clinical tool that helps us decide whether further investigation for child abuse is warranted.

This episode was written by pediatric resident Megan Branson, and pediatricians Tammy Yau and Lidia Park with content support from Julia Magana, a pediatric emergency medicine physician and child abuse specialist. Pediatricians Tammy and Lidia take full responsibility for any errors or misinformation.

Follow us on Twitter/X @Pediagogypod, Instagram/Threads @pediagogy, Bluesky @pediagogypodcast.bluesky.social, and connect with us at pediagogypod@gmail.com

Key Points:

• The TEN-4-FACESp rule highlights high-risk bruising: torso, ears, neck, any bruise in infants ≤4 months, and facial areas (frenulum, angle of jaw, cheeks, eyelids, subconjunctivae), plus patterned bruising
• Evaluation should include a thorough, neutral history, full skin exam, and consideration of medical causes (e.g., ITP, bleeding disorders), while remembering this is a screening tool—not diagnostic of abuse.
• This tool can help learners understand more about child abuse and develop their skills for recognizing it in their patients:
• https://emscimprovement.center/news/introducing-peak-child-abuse-a-free-educational-toolkit/