Abstract
Multiple factors impact population trends and contraceptive use patterns in the US. Age distribution is the main factor driving contraceptive need however. Recent fertility trends in the US are heavily influenced by the transition of the baby boomer cohort from highly fertile to less fertile ages. Also exerting an influence on contraceptive use patterns are changes in age at marriage and the timing of pregnancies the modal age at which reproduction is completed the cost and accessibility of prescription methods of contraception and perceived method-related risks and side effects. The new once-a-month injectable which combines a progestogen with estrogen has been shown to be safe convenient and highly effective. Its availability in the US has the potential to further reduce the rate of unintended pregnancies. Innovative approaches to increasing injection access beyond clinics and doctors offices would enhance use of this method.
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