Personalized counseling with shared decision making — Contraceptive counseling has evolved from either clinician-level directive counseling toward the most highly effective methods or provision of education to personalized counseling using shared decision making. This approach, which is considered ideal for preference-sensitive decisions that are highly dependent on individual values and needs, is designed to assist patients in making the best decision for themselves. In shared decision-making, patients are acknowledged as the experts on their preferences, while providers contribute their medical knowledge about the different options and the ways in which they relate to patients’ preferences. In this way, patient autonomy and the diversity of preferences for contraceptive method characteristics can be respected, while at the same time, patients are offered support in aligning their preferences with the available options. Interventions to promote shared decision-making have been reported to improve patients’ ability to make decisions that are informed and consistent with their values and to increase patient knowledge. Research in contraception specifically has found that women are more satisfied with the counseling experience and their method when they experience shared decision-making.

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