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Contraceptive issues greatly concern patients with psychiatric disorders, but many clinicians are insufficiently informed about the benefits and harms of contraceptive options in relation to mental health and psychiatric medications. This authoritative narrative review and consensus statement based on CDC criteria for contraceptive use address the full range of contraceptive choices — for example, long-acting reversible implants (<1 pregnancy/100 women/year); progestin-only or combined hormonal contraceptives [CHCs] via injection, pill, patch, or ring (4–7 pregnancies/100 women/year); and barrier methods (>13 pregnancies/100 women/year).
The authors first discussed oral contraceptives' variable impact on mood. Some studies of adolescents rep…