Complex Contraception Care
There are a number of reasons why patients require complex contraception services. Conditions like heart disease, diabetes, and autoimmune disorders can make pregnancy more risky for moms and babies. Certain medications, surgeries, anatomical factors, and societal and behavioral issues contribute to contraception challenges. In some cases, patients have experienced repeated birth control failures.
At Regional One Health’s Complex Contraceptive Clinic, we understand every patient has unique needs and goals. Our Complex Family Planning and OB/GYN specialists create a welcoming, safe environment so you can access the care that best aligns with your desired outcome.
Our goal is your goal. We work closely with our patients to find the contraception option that best suits their needs, and we can help plan pregnancies for a time that is right for your overall health. We work closely with your other specialists to provide whole-person care that helps you achieve your health and family planning goals.
Our Patients
We offer a wide range of contraception options so patients can access the method that best meets their medical needs, family planning goals, and personal preferences. Our patients receive expert counseling and education that empowers them to engage in shared decision-making about family planning.
- Long-Acting Reversible Contraception (LARC): Hormonal and non-hormonal IUDs, implants
- Permanent Contraception: Tubal ligation, salpingectomy, hysteroscopic sterilization, partner vasectomy coordination
- Short-Acting Hormonal Methods: Oral contraceptive pills, vaginal ring, transdermal patch, injectable
- Non-Hormonal/Barrier Methods: Male and female condoms, diaphragm, cervical cap, contraceptive sponge, spermicides, vaginal gel
- Specialized Complex Care options based on patient’s individual medical needs
We can help patients switch from one complex contraception method to another and offer modified contraception regimens for patients with medication interactions. We also see patients for menstrual suppression related to gynecologic or hematologic conditions.
Health conditions
- Cardiovascular disease
- Uncontrolled hypertension
- Thromboembolic disease or known thrombophilia
- Severe liver disease
- Chronic kidney disease
- Migraine with aura
- Systemic lupus erythematosus (SLE)
- Diabetes
- Peripheral vascular disease
- Malabsorptive bariatric surgery
- Solid organ transplant
- Hematologic disorders
Complex Anatomical or Surgical History
- Uterine anomalies, including fibroids distorting the uterine cavity
- Cervical stenosis or prior cervical procedures (e.g., LEEP, conization)
- Pelvic radiation or reconstructive pelvic surgery
- History of IUD expulsion, malposition, or uterine perforation
Medications and therapies
- Antiretroviral therapy
- Anticonvulsant therapy
- Rifampin, rifabutin, or griseofulvin therapy
- Request for contraception in the setting of infertility treatment or uterine-sparing cancer treatment
- Current or planned use of teratogenic medications
Contraceptive Failure or Adverse Reactions
- History of multiple contraceptive method failures
- Prior adverse events or side effects intolerant to standard contraceptives
- Allergy or sensitivity to multiple contraceptive agents or devices
Desire for Contraception with Complex Social or Behavioral Contexts
- History of intimate partner violence or reproductive coercion
- Cognitive or developmental disability affecting contraceptive use
Our Services
During menopause, many women experience symptoms like hot flashes, vaginal discomfort, depression and anxiety, weight gain and more. As women age, they also have an increased risk for serious health issues including heart disease, breast cancer and osteoporosis.
As Certified Menopause Practitioners, we have unique knowledge regarding why these issues occur and how to treat them. We also have an unmatched understanding of why that matters. By helping patients feel their best and avoid life-altering health problems, we help women thrive in their relationships, careers and passions. Our services include:
- Women’s wellness and gynecologic exams
- Screening for breast cancer, heart disease, osteoporosis, etc.
- Management of menopause symptoms
- Sexual health support
- Hormone therapy counseling and management
- Referrals to mental health professionals and resources
- Education and evidence-based information to promote shared decision-making
Our Care Team
Contraceptive Related Reading
Regional One Health is improving access to family planning care as west Tennessee’s only Center of Experience for complex removal of contraception implants
For some patients, removal of Long-Acting Reversible Contraceptives (LARCs) is complicated because the implant has moved or can't be felt by hand. Regional [...]
Women’s Services team offers variety of options to help patients improve their health at all stages of life
Regional One Health's Women's Services team can help women protect and improve their health at all stages of life. Our team provides services [...]
Ovarian cancer can be hard to detect early, but medical advances have brought new tools for prevention and treatment
There is no effective routine screening for ovarian cancer and symptoms of the disease can be vague, which means delayed diagnosis is far [...]
Ask the Experts: Should I try hormone therapy for my menopause symptoms?
Hormone therapy helps with the symptoms of menopause because it addresses the falling estrogen levels that are causing issues. It's a complex topic [...]