Welcome. My name is Divine. This is episode 531 of the Divine Intervention Podcasts. In today's

podcast, we're going to be going over a topic that I like to call high-yield contraception. So this is the

high-yield contraceptive podcast. This is a very high-yield topic that is tested on the Obigen shelf

exams and on step two, on step one, and on

step three. So just make sure you know this stuff well. Okay, question number one. What if they

give you a question about a patient, the person comes to the office, seeking contraception,

and they really don't have any real contraindications and then they ask which of the

following represents the first line option for this patient what should you regard as the first line

kind of contraceptive especially if the person does not have contraindications i hope you're saying

oh divine is going to be a lark. What does lark stand for?

A lark is a long-acting, reversible contraceptive, a long-acting, reversible contraceptive.

And there are two things that fall under this category.

Because some people think it's only IUDs that fall in here.

No.

IUDs are an example of a lark, but the subdermal progestin implant, the stuff you put under

your arm that last three years is also considered to be a lark. In general, those are the most

effective kinds of contraceptives. They're extremely effective. I guess the only contraceptive

that is 100% effective is abstinence.

Abstinence is 100, so you just don't have sex. It's 100% effective. But these larks, if a person

doesn't have any contraindications, they are first line on your exams. That's very important to

keep in mind. They are long acting, so you don't have to do anything every day and they're easily reversible so

again in general think of those as first line and again i guess using that question let's introduce

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