Barriers to Care by Upstream

Health literacy

2022-04-11 20:08:59 UTC

religious parents

2022-04-25 12:24:16 UTC

embarrassment. Be it for kids who think they "should know" what to do or adults who don't want others to know their sexual activity in our small town

2022-05-09 18:19:04 UTC

Shyness

2022-05-11 16:31:14 UTC

Many patients at our health center seem shy when it comes to discussing topics of sex and contraception.

afraid to be judged

2022-05-12 20:06:35 UTC

Lack of understanding, fear and anxiety

2022-05-16 21:10:02 UTC

Fear of parents finding out they are sexually active

2022-05-17 13:24:43 UTC

Limited information on Contraceptive care

2022-05-18 18:36:55 UTC

Embarassment

2022-05-31 13:48:18 UTC

2022-05-31 18:36:34 UTC

Not being aware of all the side effects and how the BC method they chose works in the body

Partner pressure to not use birth control.

2022-06-01 04:16:04 UTC

In the past, I have met with patients who have a partner who would like the patient to become pregnant, and the patient is not ready at the time to conceive. They are not always aware that methods exist that are confidential and not easily discoverable by less than supportive and/or controlling partners.

To young to ask parents for birth control assistance, or making appointment.

2022-06-03 14:40:55 UTC

Many conflicting priorities

2022-06-07 15:07:43 UTC

May not have time to address birth control at that visit

Not being able to make an appointment due to long wait times to get thru to the clinic

2022-06-13 00:57:04 UTC

Patients unaware That we offer health counseling services /appointments for education regarding STD, Birth control, HIV ect

2022-06-13 01:05:59 UTC

Same day access for LARC

2022-06-20 22:02:32 UTC

Time

2022-06-22 14:11:00 UTC

Pt may have come in with more urgent issues that took precedence and needed to schedule a follow-up for birth control on a separate day.

fear

2022-06-23 15:57:45 UTC

Fear of parents finding out

Hard to get a new patient appointment. No access.

2022-06-25 16:03:35 UTC

cultural beliefs

2022-06-28 13:19:04 UTC

Language

2022-06-28 20:40:05 UTC

not having an interpreter available

2022-06-29 13:03:27 UTC

languague

2022-07-05 20:13:13 UTC

Fear

2022-07-09 13:13:11 UTC

Patients might feel scared/embarrassed to ask their provider.

religion

2022-07-09 13:16:49 UTC

Partner's desire for children

2022-07-13 18:00:47 UTC

lack of structured approach in the clinic

2022-07-15 18:19:50 UTC

Time

2022-07-17 14:28:09 UTC

time constraints

2022-07-18 14:00:44 UTC

access to appointments in a timely manner.

2022-07-20 15:36:43 UTC

fear of judgement

2022-07-29 13:43:55 UTC

getting timely appointments to discuss options

2022-08-05 06:30:42 UTC

insurance concerns

2022-08-06 22:52:43 UTC

financial

2022-08-08 18:21:46 UTC

worry about side effects

2022-08-08 20:50:54 UTC

embarrassment and fear of unknown

2022-08-08 21:35:58 UTC

Not knowing what is available to them

2022-08-09 03:19:30 UTC

fear, shame, not knowing the options/resources available in her specific situation, lack of support

2022-08-09 11:26:38 UTC

Only one provider places IUDs

2022-08-09 14:45:23 UTC

beliefs

2022-08-09 17:25:27 UTC

Lack of same day access to LARCs. Lack of knowledge about available options. Misconceptions about adverse effects

2022-08-09 19:47:19 UTC

religion

2022-08-10 14:40:07 UTC

lack of providers , capable of nex and iud

2022-08-10 17:22:43 UTC

appointment availability, only one provider inserting IUD's, access to LARKs

2022-08-17 18:05:37 UTC

embarrassment and fear

2022-08-18 20:29:06 UTC

Access to provider

2022-08-21 15:31:17 UTC

Access to care and means to afford contraception

2022-08-22 14:19:23 UTC

distrust of medical staff

2022-08-22 17:38:34 UTC

Misinformation from social media, etc

2022-08-22 18:49:59 UTC

Long wait times on the phone

2022-08-25 15:39:29 UTC

Lack of insurance

2022-08-26 00:45:26 UTC

Transportation

2022-08-29 15:54:28 UTC

Transportation

2022-08-30 12:42:33 UTC

Fear of being judged

2022-08-30 17:37:25 UTC

Lack of insurance results in our inability to place a LARC.

2022-08-31 19:42:52 UTC

2022-09-01 12:11:37 UTC

clinic hours

Fear

2022-09-01 12:30:54 UTC

Confidentiality

2022-09-01 12:35:59 UTC

Judgement

2022-09-01 12:36:11 UTC

Lack of health insurance

2022-09-01 12:36:37 UTC

money

2022-09-01 12:39:47 UTC

Afraid of getting into trouble for asking for help.

2022-09-01 12:41:39 UTC

Time

2022-09-01 12:41:54 UTC

The time to counsel and decide and then get an IUD in that day. We're not streamlined for it and 15 min appts don't allow for it.

lack of knowledge of front line staff

2022-09-01 12:47:05 UTC

fear, cost, transportation, language barriers

2022-09-01 12:49:48 UTC

fear, getting in trouble, money , insurance issues,

2022-09-01 12:51:07 UTC

Language Barriers

2022-09-01 13:01:07 UTC

FEAR

2022-09-01 13:05:24 UTC

Fear

2022-09-01 13:06:26 UTC

fear, cost, transportation, language barriers

2022-09-01 13:10:27 UTC

fear, cost, transportation, language barriers

2022-09-01 13:12:34 UTC

access to the contraceptive

2022-09-01 13:15:23 UTC

2022-09-01 13:25:39 UTC

Fear of getting in trouble

Cost

2022-09-01 17:21:27 UTC

Lack of insurance, not understanding what options are there for coverage and payment assistance.

Lack of access to care

2022-09-02 12:48:22 UTC

Language and health literacy

2022-09-02 18:58:28 UTC

fear, cultural differences, socioeconomic differences, language barrier, religious assumptions based on dress code

2022-09-07 01:10:17 UTC

language, health literacy, transportation issues. difficulty calling us

2022-09-07 17:49:03 UTC

Lack of knowledge of services available and confidentiality

2022-09-08 17:29:28 UTC

Judgement or punishment from parents

2022-09-10 19:25:19 UTC

work schedule, transportation

2022-09-12 15:16:22 UTC

family stigma

2022-09-12 15:26:14 UTC

initiating the conversation

2022-09-12 19:19:15 UTC

Cost and lack of parental consent

2022-09-13 02:02:24 UTC

Judgment

2022-09-13 13:54:12 UTC

cost, parents finding out

No Insurance

2022-09-15 13:36:25 UTC

Pt may not be able to pay for their contraceptive.

Not believing it's possible; fear of cultural retaliation

2022-09-16 16:22:06 UTC

Financial instability

2022-09-16 20:44:04 UTC

As always finances and confidentially is a big barriers to care. Finding a provider that will be supportive in any decision you make .

2022-09-20 12:13:07 UTC

Language barriers; access to clinical service at convenient time; transportation; knowledge deficit about all possible options; pressure from partners

2022-09-21 15:31:09 UTC

2022-09-26 16:06:29 UTC

feeling judged by friends or family

2022-09-26 16:51:33 UTC

I always let my teen patients know that everything we discuss is confidential and no one is going to find out what we talk about, no even their parents.

Money

2022-09-28 19:39:29 UTC

culture

2022-10-04 19:01:06 UTC

Time with provider, intimidation/fear

2022-10-10 18:11:28 UTC

Fear of "getting in trouble"

2022-10-11 22:33:57 UTC

appt access at a time that works for them.

2022-10-12 02:18:20 UTC

Denial

2022-10-12 18:35:05 UTC

fear of side effects

2022-10-13 13:34:07 UTC

unsure how to ask

2022-10-13 16:19:59 UTC

Getting an appointment that will meet their schedule needs

2022-10-13 16:21:49 UTC

Feeling embarrassed, it's new and unfamiliar, asking for help.

2022-10-18 17:52:48 UTC

Stigma and fear

2022-10-18 21:45:50 UTC

A lot of the patients we serve face social barriers in addition to typical healthcare barriers

2022-10-18 21:53:15 UTC

Culture and language Barrier
Religion
Financial Barrier
Misinformation

fear, embarrassment, religious barriers, cultural and/or language barriers, financial barriers

2022-10-21 18:05:12 UTC

Lack of education prior

2022-10-24 15:16:01 UTC

fear of side effects

2022-10-24 16:55:39 UTC

insurance coverage, having to pick up method at pharmacy

2022-10-24 19:51:00 UTC

insurance coverage/cost, parents, embarrassment, hard to get through on the phone, difficulty making an appointment right away, not all providers here offer all methods

2022-10-24 19:53:06 UTC

Education on different types of birth control

2022-10-24 21:25:43 UTC

Money / insurance

2022-10-24 23:27:42 UTC

Fear of judgment

2022-10-25 13:17:32 UTC

2022-10-25 16:33:42 UTC

TIME - It can take quite some time to get in to see a provider to access contraception.

Consistent Transportation

2022-10-26 15:34:17 UTC

not wanting parents to know

2022-11-05 15:58:38 UTC

Fear of family finding out.

2022-11-05 18:46:59 UTC

Available options, cost, and embarrassment at discussing options.

2022-11-07 19:21:53 UTC

2022-11-07 19:38:10 UTC

Afraid to ask questions, concern that parental permission is needed, lack of knowledge about options

fear of having to complete a pap to get birth control

2022-11-08 05:01:59 UTC

Fear of parents finding out that I am sexually active

2022-11-08 15:38:11 UTC

2022-11-09 22:58:46 UTC

TIME - It can take quite some time to get in to see a provider to access contraception.

2022-11-09 23:00:00 UTC

Fear of parents finding out that I am sexually active

2022-11-10 15:36:30 UTC

not wanting parents to know

Fear partner/spouse will find out

2022-11-10 16:05:57 UTC

2022-11-11 17:41:51 UTC

Unsure how to ask and not knowing what's available.

Lack of information regarding contraception options.

2022-11-13 00:54:35 UTC

Lack of available appointments and long wait to get an appointment with a provider

2022-11-13 18:35:51 UTC

Not enough time in the appointment

2022-11-14 22:53:08 UTC

shame

2022-11-15 14:33:51 UTC

Lack of information regarding contraception options

2022-11-15 17:13:30 UTC

Lack of available appointments is a barrier to care at our clinic

2022-11-16 20:17:23 UTC

Language Barrier/Cost

2022-11-21 15:13:26 UTC

Barriers to Care

2022-11-21 18:44:01 UTC

Many of the people who come to our clinic don't are just un-informed about their options.

Small town. Afraid their parent/friends will find out.

2022-11-21 22:48:33 UTC

Barriers to Care

2022-11-28 14:56:20 UTC

Patients may feel ashamed to ask for contraceptive care for fear of being judged.

cost / language barriers

2022-11-28 16:24:08 UTC

education around birth control and what are their best options.

2022-11-29 14:54:37 UTC

Lack of transportation

2022-11-30 20:25:08 UTC

Adolescents who may want birth control don't want to ask their parent for a ride to the appointment.

Fear of parents finding out

2022-11-30 21:02:10 UTC

Fear of parents finding out they're sexually active

2022-12-01 22:03:22 UTC

Scared of their parents

2022-12-01 22:08:11 UTC

lack of knowledge about it

2022-12-02 16:36:35 UTC

Fear of judgment

2022-12-02 19:53:24 UTC

2022-12-04 23:56:30 UTC

fear of discovery and cost.

insurance coverage

2022-12-05 14:15:36 UTC

No insurance/cost

2022-12-05 17:18:09 UTC

Possible side effects

2022-12-05 17:18:36 UTC

2022-12-05 19:32:52 UTC

Judgement

Language/Cultural barrier

2022-12-06 15:33:43 UTC

Patients here at our clinic come from many different backgrounds. Many times they are afraid of using any method because of their cultural norms. Many of them don't speak English well and feel intimidated.

Afraid that they may gain weight

2022-12-07 14:04:12 UTC

long wait for appointment

2022-12-07 14:28:18 UTC

2022-12-08 17:46:05 UTC

racial/ethnic discrimination

the effects it will have on their bodies

2022-12-08 17:53:27 UTC

They are unaware of all of the options available to them.

2022-12-08 18:45:57 UTC

wait time- not enough providers trained

2022-12-11 20:59:44 UTC

it is unaffordable

2022-12-11 22:48:58 UTC

language barriers

2022-12-14 14:28:17 UTC

Low medical literacy

2022-12-22 20:15:52 UTC

Lack of sexual education

2022-12-22 20:16:35 UTC

physical proximity

2022-12-26 19:40:29 UTC

No access to sex education/birth control access at school

afraid to get into trouble

2022-12-28 16:48:29 UTC

education

2022-12-29 14:36:39 UTC

2023-01-04 13:35:53 UTC

Lack of family support or knowledge

provider ignorance

2023-01-04 22:23:08 UTC

I believe lack of family support & lack of education are the biggest challenges a young adult can face when coming into a healthcare facility for contraceptives.

2023-01-05 16:37:25 UTC

lack of knowledge of many options available

2023-01-05 21:55:28 UTC

cost, side effects

2023-01-06 19:22:42 UTC

money

2023-01-10 00:50:49 UTC

shy, worried family member might find out

2023-01-12 13:44:32 UTC

side effects, failure rates

2023-01-12 22:37:02 UTC

Appointment times

2023-01-24 18:23:49 UTC

Limited appointment times may not fit everyone's schedule / transportation or childcare constraints.

Complicated medical history

2023-01-24 19:01:53 UTC

Patients often have uncontrolled hypertension or other contraindicated medical condition.

Providers lack of comfort

2023-01-25 13:33:29 UTC

Time and Lack of Technology

2023-01-25 13:44:04 UTC

Clinic visits are too long and lots of patients use virtual means to receive healthcare. Patients do not want to spend a long time in clinics or at a pharmacy.

clinic operating hours

2023-01-27 14:21:39 UTC

strict parenting

2023-02-01 14:34:03 UTC

A lot of cultural and religious differences in oral contraception, but also on teenage pregnancies. Difficult for the patient to choose which one they would rather deal with when it comes to their strict parents.

Not knowing how much different birth control methods cost.

2023-02-01 15:32:08 UTC

Trust in confidentiality

2023-02-01 16:46:51 UTC

Payor source for contraceptives. If you are self-pay and desire OCPs, you cannot get them in maternity at your postpartum visit if you want them for free because of the source of funding. We have to schedule a separate visit in the One clinic, which often is not able to be same-day. This delays care, especially for our population with transportation, childcare, and language difficulties.

2023-02-02 15:42:37 UTC

2023-02-08 21:40:27 UTC

Fear of others knowing

Being required to make separate appointments for the family planning counselor and then to have the IUD inserted by the provider. Being required to schedule the IUD insertion appointment during one's period.

2023-02-14 18:26:05 UTC

Patient perspective: My clinic provides this?

2023-02-17 14:41:33 UTC

Many times younger patients are not aware that our clinic can provide safe/confidential education and services. Sometimes they just don't know that we are here for them!

Parental opinion/bias

2023-02-17 17:40:05 UTC

Only 1 provider that inserts LARCs and she's only here 3 days a week.

2023-02-17 19:39:49 UTC

2023-02-17 21:07:37 UTC

Same day contraception can be critical for those with transportation barriers.

provider training

2023-02-20 18:02:28 UTC

Worried about significant other finding out. Especially if they don't believe in contraceptive care.

2023-02-23 15:07:42 UTC

Appointment times being accessible

2023-02-27 20:08:13 UTC

Some young patient's are not aware counseling is available.

2023-03-01 14:17:25 UTC

2023-03-01 18:43:27 UTC

Uninsured patients have fear that birth control is too expensive.

inconvenient /limited appts

2023-03-02 13:27:57 UTC

No Insurance, Lack of Knowledge, Transportation, Fear/Anxiety

2023-03-10 20:25:57 UTC

Some younger patients come in with their parents and they may not know when the right time is to have their parents step out to discuss contraceptive concerns or may also lack the knowledge that they are able to have access to Title X contraceptives. Other barriers consist of lack of insurance and even transportation to and from the clinic.

The support staff whom the patient comes in contact with first does not realize the opportunity to make an exception to get a patient in the exact same day.

2023-03-13 13:39:15 UTC

Little do they know, they have the rare opportunity the change the very course of someone's life in that moment.

our state requires that consent for tubal sterilization be signed 30 days prior to procedure for patient using public insurance. if this form is not at the hospital and signed at least 30 days and not over 180 days prior to the day of surgery, the patient cannot have her procedure done.

2023-03-13 19:01:43 UTC

lack of education

2023-03-13 22:39:56 UTC

often times patients do not know all of the options that are out there and if they are able to get them

Not knowing where to go for reproductive health care assistance.

2023-03-13 23:40:56 UTC

2023-03-14 13:43:43 UTC

Being afraid to ask family members for help and not knowing there is places that are there for this purpose

Low health literacy

2023-03-14 13:50:03 UTC

Laws changing accessibility.

2023-03-16 13:05:18 UTC

Lack of trust

2023-03-16 13:09:33 UTC

Most young patients won't trust their healthcare professionals. Sometimes because they don't know how HIPAA protects them, or just because they just don't trust their parents.

availability of LARC insertion appointments

2023-03-16 14:11:12 UTC

2023-03-17 12:31:14 UTC

Not talking about it enough with individuals of all ages and gender.

low medical literacy

2023-03-21 18:47:06 UTC

Patients don't know that the Title X program exists

2023-03-29 13:13:40 UTC

Patients are unaware they can be seen confidentially or be seen without insurance for reproductive health

The invasion of politics into the exam room.

2023-05-08 13:13:20 UTC

PTSD

2023-05-18 14:15:04 UTC

The Patient could be experiencing PTSD which leads to fear

Where they live

2023-07-12 15:50:03 UTC

history of systemic racism on access to healthcare and perceptions of contraception

2023-07-12 16:05:01 UTC

Time constraints

2023-07-12 19:43:14 UTC

Unclear about how to navigate the system
Language barrier

Transportation without parental knowledge

2023-07-17 20:15:05 UTC

No guidance on where to start process

2023-07-19 15:36:11 UTC

Cost

2023-07-20 20:36:25 UTC

Financial. Wants IUD/Implant not covered by ins plan

2023-08-01 14:04:21 UTC

cultural differences

2023-08-01 15:47:08 UTC

language barrier

2023-08-01 16:22:49 UTC

2023-08-02 20:37:07 UTC

No insurance - out of pocket cost for IUD placement is around $800
Partner interfering with visit

Unfamiliar with medical system

2023-08-03 16:09:24 UTC

Fear of side effects (weight gain, moodiness)

2023-08-24 17:30:25 UTC

Lack of information

2023-08-25 17:54:31 UTC

Poor sex ed in schools and at home, stemming from systemic and "moral" stigmas/fears

Feeling Shameful or nervous

2023-09-10 03:30:26 UTC

Age and lack of knowledge about ability to get birth control if under 18

2023-10-06 15:35:31 UTC

Uninsured/Underinsured

2024-01-05 18:23:38 UTC

provider bias. lack of knowledge and family/friend ideas about BC

2024-01-30 14:48:48 UTC

biases about what forms of contraception are best

2024-01-30 17:53:25 UTC

Transportation, child care, and insurance

2024-01-30 19:22:19 UTC

providers assume our disabled patients don't need access to contraception

2024-02-01 22:11:38 UTC

language barriers

2024-02-02 20:11:07 UTC

feeling nervous or thinking that the doctor may judge them.

2024-02-06 15:22:38 UTC

Our providers are not trained in hormone replacement therapy so they do not think our trans patients need access to contraceptive care.

2024-02-07 01:14:30 UTC

Only offering LARCs after abortion services are provided.

2024-02-07 20:47:40 UTC

Fear of parents finding out

2024-02-09 13:12:46 UTC

Lack of resources

2024-02-29 21:38:03 UTC

Some parents may lack education on contraceptive themselves and think it is only for adults that are sexually active

2024-02-29 21:39:58 UTC

Students can't access contraceptives in school-based health centers.

2024-03-21 02:01:28 UTC

patients want contraception. but have questions doctor can't answer

2024-04-02 16:48:51 UTC

Politics

2024-04-05 12:08:47 UTC

Language/cultural barriers

2024-04-05 19:41:54 UTC

hard to get iud priveleges for insertion

2024-04-08 15:02:33 UTC

lack of appts

2024-04-08 15:02:47 UTC

Believing common misconceptions about birth control that are common on some social media outlets.

2024-04-18 13:02:11 UTC

Misinformation on the safety of birth control and language barrier.

2024-04-23 23:10:50 UTC

Provider/staff training

2024-04-23 23:11:11 UTC

young patients fearful that parents will find out that they are sexually active.

2024-04-26 12:27:17 UTC

Communication and training.

2024-04-26 14:45:46 UTC

Staff workflows are not clear re: how to help patients access contraceptive services even if uninsured or getting primary care elsewhere but come to us for confidential services

2024-04-27 01:48:26 UTC

Fear that others will find out, fear of side affects of BC. Feeling embarassed, lack of knowledge of BC options.

2024-04-29 01:30:28 UTC

Misinformation regarding contraceptive options from online sources or social media.

2024-04-29 15:06:40 UTC

Understanding their options; not realizing there are more than one option to birth control

2024-04-29 15:14:46 UTC

patients do not understand terms : B/C have many names and terms, for instance IUD / several options, names, reasons to choose one over another. They are not told in a term to know .

2024-04-29 15:23:14 UTC

Education on the different types of birth control available prior to arrival for appointment

2024-04-29 15:28:15 UTC

Fearful of long-term side effects

2024-04-29 15:28:38 UTC

misconceptions regarding perceived complications and/or side effects

2024-04-29 15:35:46 UTC

Cost

2024-04-30 13:42:30 UTC

Patients are not being educated by professionals they are reaching out or relying on social media for information about birth control methods.

2024-04-30 14:36:55 UTC

Only able to do one service per visit.

2024-04-30 15:14:10 UTC

Religion, cost, language barriers and not getting enough information about B/C

2024-04-30 19:39:11 UTC

Money, lack of understanding,religion, side effects

2024-05-01 12:08:27 UTC

Misinformation that patient's read on the internet.

2024-05-01 12:43:13 UTC

Lack of education in general. Clinical staff from MD to CMA. We are pressured by employers to complete so many visit on any given day and not given the adequate to to make sure pts have the correct understanding of all risks, benefits, and options. But of this is also a systemic issue that can be traced back to lack teaching in school/ sex ed

2024-05-01 19:45:28 UTC

Lack of appropriate anesthetic or pain relief for IUD insertions. Avoidance due to fear of pain is a huge barrier to many procedures. IUD insertion may fail because it can be extraordinarily painful or difficult for the patient. In these cases, they may need to go to the OR to have it done.

2024-05-02 13:31:48 UTC

cost/insurance barriers

2024-05-02 14:40:57 UTC

provider training

2024-05-02 14:41:37 UTC

Mistrust due to a terrible history of reproductive oppression for black and brown patients

2024-05-02 15:39:59 UTC

access to timely medical appointments for contraception

2024-05-02 15:40:20 UTC

Language barrier. Not enough information on different types of Birth Control options.

2024-05-02 18:37:40 UTC

language barriers, financial barriers, transportation barriers

2024-05-02 18:58:04 UTC

Lack of insurance

2024-05-03 12:37:55 UTC

Transportation issues

2024-05-03 16:07:50 UTC

Low income or uninsured

2024-05-03 17:27:22 UTC

Cultural difference

2024-05-03 17:58:14 UTC

timely appointment

2024-05-04 18:25:08 UTC

provider training

2024-05-04 18:25:37 UTC

Side effects

2024-05-04 19:44:01 UTC

Not enought time during the visit

2024-05-06 14:20:52 UTC

Fear of not having much information about sides effects .

2024-05-07 16:16:38 UTC

A care team member doesn't offer contraceptive services to a transgender male patient.

2024-05-07 23:51:17 UTC

pain or discomfort

2024-05-08 12:59:18 UTC

Pt. does not have enough knowledge of the options, resources, benefits. Many rather don't ask because they are scared to ask.

2024-05-08 13:00:35 UTC

corporate healthcare not giving clinicians enough time to give pts the care they deserve

2024-05-08 16:43:43 UTC

Lack of understanding on what they are getting

2024-05-08 18:42:29 UTC

Living in isolation or in shelters far from a clinic

2024-05-08 23:12:31 UTC

Parents not wanting their children to use hormonal birth control.

2024-05-09 15:30:01 UTC

Difficulty getting to our clinic whether transportation, childcare, or work.

2024-05-09 15:41:53 UTC

untrained staff and providers to be able to administer LARCs

2024-05-09 22:24:44 UTC

Biases and misinformation from social media

2024-05-10 14:56:14 UTC

For example: if the appt. was for an annual physical and the patient inquired about obtaining a LARC most of our providers would schedule the patient to come back for the LARC due to not having the time.

2024-05-10 16:52:18 UTC

cultural and language barriers

2024-05-11 04:38:24 UTC

no insurance

2024-05-13 14:18:07 UTC

new to the US

2024-05-13 15:34:34 UTC

It's as simple as the pressure of productivity vs. time

2024-05-14 00:10:16 UTC

Young people not wanting their parents to find out.

2024-05-14 03:00:46 UTC

Appointment was scheduled incorrectly.

2024-05-14 18:18:07 UTC

Bias and stereotype

2024-05-15 16:52:35 UTC

Insurance complications

2024-05-16 05:01:15 UTC

Fear of side effects, misinformation on longterm health risks

2024-05-16 12:12:07 UTC

poor judgement

2024-05-17 19:18:29 UTC

Appointment is scheduled with the wrong provider

2024-05-18 23:16:28 UTC

Substance Misuse

2024-05-19 17:09:38 UTC

Mental health issues

2024-05-19 17:10:53 UTC

lack of transportation, lack of insurance

2024-05-20 15:49:12 UTC

Lack of understanding, no support, fear of not conceiving.

2024-05-21 13:03:56 UTC

Language barrier

2024-05-21 16:35:12 UTC

we fix this by using a translator service

2024-05-21 17:16:02 UTC

fear of side effects

2024-05-21 18:07:40 UTC

most patients are afraid to ask about BC with the provider if their partner is with them since the partner may have a negative response to her getting on BC due to lack of education or cultural/religious reasons.

2024-05-22 13:51:22 UTC

Age and lack of training of pediatricians in reproductive health

2024-05-22 21:23:32 UTC

Racially or religiously biased healthcare professionals. Fear of being judged. High out of pocket cost for certain forms of birth control.

2024-05-23 21:41:25 UTC

Access to care

2024-05-24 13:32:56 UTC

Health insurance barrier; language barrier

2024-05-28 19:23:56 UTC

let the patient know regarding different side effective .

2024-05-29 21:53:55 UTC

give the patient more information and instructions how to access the care

2024-05-29 22:04:07 UTC

Not enough time to have a full conversation about birth control in a visit with competing needs

2024-05-30 00:21:20 UTC

Concerns about hormone exposure and/or foreign objects in the body, unsure how to counsel on these without coming across as coercive or that I am trying to "sell them" on something

2024-05-30 00:21:54 UTC

No insurance

2024-05-30 21:04:27 UTC

lack of information

2024-05-31 12:45:11 UTC

Trained providers

2024-05-31 14:19:58 UTC

Language barriers

2024-05-31 19:47:11 UTC

Providers do not have enough time

2024-06-01 12:09:26 UTC

language barriers

2024-06-03 15:02:55 UTC

religion

2024-06-03 15:50:31 UTC

Not asking the patient if they would like information regarding BC

2024-06-03 22:45:08 UTC

Fear of parents being informed

2024-06-04 22:14:26 UTC

Biased about what form of contraception are best

2024-06-06 12:16:26 UTC

Friends/Tik tok giving misinformation

2024-06-07 18:50:21 UTC

Some providers feel they are enabling a patient to have sex if they write a prescription for contraception.

2024-06-10 18:26:47 UTC

Patients feel intimidated by how the parent or provider may react.

2024-06-10 18:27:48 UTC

Difficulty taking time off work for clinic appointments, because until our local warehouse workers form an effective union, they have no worker rights.

2024-06-11 22:37:46 UTC

Doctor/provider not taking the time to explain all options. Sometimes feel rushed to get to the next patient and keep the schedule moving.

2024-06-12 13:45:37 UTC

taboo/discomfort around speaking about sex especially with provider of opposite gender

2024-06-20 02:36:22 UTC

lack of confidence in knowledge

2024-06-20 20:40:11 UTC

Barriers to care is that not enough staff are knowledgeable in providing care related to contraceptive care.

2024-06-21 02:27:08 UTC

Correct/Unbiased education surrounding the different contraceptive options

2024-06-21 17:47:02 UTC

Religious ties, parental pressure, societal expectations.

2024-06-24 13:32:38 UTC

lack of cooperation w/ parents of sexually active teenagers

2024-06-25 14:39:16 UTC

transportation to get to their appts

2024-06-25 16:58:38 UTC

parents

2024-06-26 18:27:38 UTC

having to have two separate visits for birth control

2024-06-26 19:15:14 UTC

Providers dont have the time or feel rushed

2024-06-26 19:15:58 UTC

Lack of trauma informed care as well as not utilizing interpreters properly or waiting for correct interpretation

2024-06-26 19:16:37 UTC

Fear due to immigrations status

2024-06-27 14:13:22 UTC

Reimbursement practices. Pt cannot have a well and birth control visit on the same day.

2024-07-01 14:32:21 UTC

lack of insurance and transportation to pick up medications

2024-07-06 18:37:26 UTC

One provider in our practice does not prescribe due to religious reasons.

2024-07-08 15:32:15 UTC

Our hospital does not supply Nexplanon or IUDs in our postpartum unit, so they have to wait until their outpatient appointment to get them ordered

2024-07-08 15:33:55 UTC

Chip/Medicaid does not cover IUDs or Nexplanon for women who are insured following recent pregnancy. IUD placement out of pocket is nearly $1000 at our clinic.

2024-07-08 19:04:39 UTC

A patient works at a Catholic hospital and their insurance won't allow for tubal ligation.

2024-07-09 21:32:53 UTC

uninsured, teen agers with out parent consent, religious based beliefs of the staff not good.

2024-07-10 20:02:13 UTC

Probably lack of transportation to their medical appointment.

2024-07-11 21:40:54 UTC

medical History

2024-07-12 11:42:35 UTC

Not being offered postpartum BC or surgical procedure due to being white and staff assuming you will not be getting pregnant soon or will some how take care of the BC later.

2024-07-12 13:30:17 UTC

Cultural and religious beliefs of the community and lack of access to healthcare due to long waits to get an appointment.

2024-07-12 19:13:01 UTC

lack of education when it comes to staff members, individual clinics don't always see importance of care because of their personal bias.

2024-07-15 01:31:24 UTC

Lack of education and access

2024-07-17 01:49:23 UTC

Some patients have a hard time determining which birth control method they would like to pursue due to online horror stories they have read on social media

2024-07-17 06:48:25 UTC

Lack of education and people listening to others horror stories and making decisions based on that information

2024-07-17 22:07:38 UTC

Limited time to discuss during visits.

2024-07-19 12:32:12 UTC

Shy to ask questions about birth control

2024-07-21 23:55:38 UTC

Cost

2024-07-22 13:02:58 UTC

Misconceptions

2024-07-23 18:12:39 UTC

State laws requiring parental consent for BC under the age of 18

2024-07-23 22:31:11 UTC

Misinformation especially regarding safety and side effects

2024-07-25 01:49:35 UTC

Fear of side effects and pain during procedure

2024-07-25 13:03:24 UTC

My office doesn't have the instruments to do IUD insertions

2024-07-30 13:36:02 UTC

Appointment slots are not long enough for IUD insertions (only 15 min long).

2024-07-30 13:37:12 UTC

limited visit time

2024-07-31 02:32:33 UTC

bias beliefs from religion or family members

2024-07-31 13:19:56 UTC

appointment availability

2024-07-31 13:33:32 UTC

IPV

2024-08-01 02:01:33 UTC

not enough money for it

2024-08-05 22:23:29 UTC

appointment availability

2024-08-05 22:23:50 UTC

Limited visit time

2024-08-05 22:24:04 UTC

Friends/Tik Tok giving misinformation

2024-08-05 22:25:06 UTC

Doctor knows the family and might tell.

2024-08-06 19:26:09 UTC

provider specialty

2024-08-08 01:30:52 UTC

Not being able to bill for clinic visit and procedure for the birth control - not having the time to schedule an appt

2024-08-08 13:43:55 UTC

Short visit time

2024-08-08 21:45:23 UTC

spousal/partner consent

2024-08-08 21:48:03 UTC

Our culture does not foster health/ body literacy so that even if someone is given all the information about fertility cycles and methods and how they interact with your body, so many people aren't in touch enough with their body/desires to know what they want to fully consent- this is especially difficult in the context of states where sex education is banned and stigmatized so providers are expected to fill the gap with info in a very short amount of time

2024-08-09 01:46:10 UTC

Lack of money/insurance, lack of education, and lack of trust in the medical system

2024-08-15 15:07:13 UTC

No Title X funds at the community health center.

2024-08-15 15:20:15 UTC

language

2024-08-15 15:24:52 UTC

family support

2024-08-15 15:47:53 UTC

lack of Transgender Care Knowledge

2024-08-15 16:39:32 UTC

cultural barriers

2024-08-15 20:42:53 UTC

cost

2024-08-19 12:49:46 UTC

Embarrassed to know other people* now know you are sexually active. *(outside of care team)

2024-08-23 18:45:27 UTC

cultural barriers- religions

2024-08-28 17:23:59 UTC

Cost, transportation for care and cultural/familial myths and beliefs

2024-08-28 20:49:12 UTC

lack of pain management options for IUD placement

2024-09-03 17:40:10 UTC

Lack of education

2024-09-03 20:27:19 UTC

lack of providers who can place IUD

2024-09-04 13:46:01 UTC

Concerns about confidentiality and managing confidential care when they come in with their parent(s).

2024-09-04 18:51:30 UTC

Lack of understanding about healthcare

2024-09-04 18:51:48 UTC

Lack of Health Insurance

2024-09-09 18:02:53 UTC

Not having health insurance

2024-09-11 15:43:01 UTC

lack of insurance and knowledge

2024-09-12 13:28:59 UTC

Having no prior knowledge on options available

2024-09-18 13:29:55 UTC

Not enough time in visits, overbooking due to poor reimbursement

2024-09-19 17:04:43 UTC

Provider bias

2024-09-20 18:14:50 UTC

Lack of time and comfort to discuss birth control options during patient visit

2024-09-24 18:07:41 UTC

Partner does not believe in birth control/wants patient to be pregnant

2024-09-26 13:16:00 UTC

lack of time in visit

2024-09-27 00:35:05 UTC

At Coast Guard Training Center, clinic hours are exactly when students are in training. Unless students come in during sick call hours (0700-0800) normally reserved for acute onset illness/injury, students may not want to disrupt their training for fear of missing content. Test scores are directly correlated to class ranking, and billet choice upon leaving training center is based on class rank (i.e. top student gets first pick of available billets).

2024-09-30 00:13:38 UTC

short visit time to consult and then do procedure

2024-10-03 15:06:24 UTC

Our clinic specifically has a broad network of MTFs in the area and most of our female patients just assume they need to go outside to other clinics since we don't really emphasize that we can complete WWE/Contraceptive Care here. Additionally, there's a necessary level of knowledge skill and comfort level needed to provide these services that many of us don't have or haven't done in years.

2024-10-03 20:07:52 UTC

Not enough time to discuss all options available

2024-10-04 16:45:08 UTC

Rejection

2024-10-10 14:51:40 UTC

Providers don't have time

2024-10-10 18:52:30 UTC

Parental/guardian consent for minors. for rural areas transportation. Allotted time for provider to see patient. Cost of BC product.

2024-10-16 14:37:50 UTC

Mistrust in health care

2024-10-17 09:02:30 UTC

Providers who don't look like the patients in the communities they serve

2024-10-17 09:03:01 UTC

Insurance coverage, Insurance requesting PAs that take long.

2024-10-17 16:57:17 UTC

the patients may feel embarrassed or like we are going to judge them for wanting birth control

2024-10-18 14:06:49 UTC

Time constraints due to having to make "numbers". We have 20 minutes to evaluate a patient, do a physical exam, present it to the provider, come up with a care plan, implement it and provide thorough patient education. In 20 minutes! It's insane, its bad medicine, and it deprives our members of the care they deserve.

2024-10-22 18:28:35 UTC

No Insurance

2024-10-23 12:38:50 UTC

no insurance, immigrants

2024-10-24 13:40:59 UTC

language barrier

2024-10-24 16:01:35 UTC

distrust and stigma towards methods

2024-10-24 16:02:03 UTC

barriers in following up with providers

2024-10-24 16:02:16 UTC

Transportation

2024-10-25 14:56:32 UTC

Patient preference of female provider

2024-10-26 16:35:36 UTC

On-site availability for birth control methods for patients without insurance or with poor coverage

2024-10-29 16:59:41 UTC

fear of side effects

2024-10-30 15:59:26 UTC

Affordability, same day access issues

2024-11-01 08:45:09 UTC

complex family dynamics for teens

2024-11-01 15:46:39 UTC

Racism

2024-11-04 02:51:40 UTC

religious beliefs

2024-11-04 19:54:20 UTC

lack of providers in certain areas

2024-11-05 14:13:36 UTC

Difficulty finding appointment slot.

2024-11-05 19:17:20 UTC

race

2024-11-05 21:22:59 UTC

Lack of provider time to adequately counsel the patient, provider lack of knowledge on how to counsel appropriately.

2024-11-06 10:44:35 UTC

Lack of time to go to an appointment

2024-11-06 16:19:08 UTC

not enough time to fully discuss all options

2024-11-06 17:48:39 UTC

lack of trust, education and support

2024-11-06 19:21:50 UTC

lack of education and just being told IUD can be placed same day as giving birth.

2024-11-06 19:43:02 UTC

Uncomfortable to discuss sexual behaviors or desire for contraception.

2024-11-06 21:10:38 UTC

Clinician talks over the patient's head, using words they don't understand, because it's considered "professional".

2024-11-07 13:22:01 UTC

Lack of proper language translation.

2024-11-07 13:30:10 UTC

Inappropriate or inaccurate medical information given to patients

2024-11-07 13:32:55 UTC

discouraged from seeking most effective and permanent options based on not having children.

2024-11-07 13:50:51 UTC

lack of time to counsel patient

2024-11-07 14:45:57 UTC

Fear of getting healthcare services due to community trauma (i.e. forced sterilization of minority women, Tuskegee experiment, etc.)

2024-11-07 14:59:28 UTC

uninsured or under insured

2024-11-07 20:52:31 UTC

lack of access to services near patient

2024-11-07 20:55:03 UTC

INSUFFICIENT TIME FOR COUNSELING

2024-11-07 20:58:43 UTC

I think language barriers is a big one, and while we have translator services, there's lots of delays and it can make the patient feel uncomfortable :( Also, I think being a provider who's a man, as some may not feel comfortable discussing it due to religious or cultural reasons, or even just past experiences

2024-11-07 22:56:27 UTC

Lack of time to discuss options with patients. Also, unnecessary medical practices.

2024-11-08 18:54:13 UTC

Limited health literacy, patient's fear of asking questions in appointment

2024-11-11 23:05:25 UTC

Insufficient time for scheduling a procedure during a visit

2024-11-12 01:22:38 UTC

Time available in the visit to fully discuss options

2024-11-14 15:34:49 UTC

language barrier

2024-11-15 16:09:39 UTC

Fear that their parents will find out they are taking birth control or had an IUD placed

2024-11-18 04:34:01 UTC

FAMILY

2024-11-18 14:29:05 UTC

pressure from family, friends, or social groups either for or against use of birth control

2024-11-19 15:45:07 UTC

Insufficient time during the encounter to address contraceptive care when the patient is scheduled for multiple other complains.

2024-11-20 03:16:36 UTC

cultural morales and beliefs, financial barriers, lack of resources (devices, educational materials, educated clinicians)

2024-11-20 20:55:12 UTC

Life

2024-11-21 14:49:17 UTC

Effectiveness, side effects

2024-11-21 17:30:54 UTC

Transportation to and from appointments or the pharmacy

2024-11-21 18:02:10 UTC

Family and Culture - especially when working with youth. Some don't want their parents to know that they are on birth control, but they are also under their parent's insurance. Not to mention, some cultures look down at the use of birth control if you aren't married.

2024-11-21 18:02:46 UTC

Many patients bring up contraception during well visits or during another sick visit. Time is barrier to addressing all patient needs in one visit.

2024-11-25 15:39:45 UTC

Language barriers and lack of time during appointments to successfully educate patients on methods of contraception/ for patients to make an informed decision on what method is best for them

2024-12-02 14:11:58 UTC

transportation, knowledge of methods, ability to take off work/school to get to appointments

2024-12-04 13:50:17 UTC

No trained clinical staff.

2024-12-05 01:15:17 UTC

Providers not having adequate time during the visit and having proper training on the contraceptive method requested.

2024-12-06 19:13:44 UTC

same day access

2024-12-10 12:25:05 UTC

lack of same day access, lack of insurance coverage

2024-12-12 16:37:42 UTC

transportation barriers. many of my patients live in shelters and they either do not have transportation or cannot leave the shelter without giving up a bed.

2024-12-16 20:51:45 UTC

Limited appt times and not being able to discuss/inform pts on the different types of BC options.

2024-12-18 21:42:39 UTC

lack of appointments

2024-12-19 02:51:40 UTC

fear of triggering dysphoria

2024-12-19 02:52:09 UTC

having past providers who aren't knowledgeable about trans/gender diverse people who have menses

2024-12-19 13:13:06 UTC

Patients getting inaccurate information from social media sites

2024-12-23 13:33:24 UTC

Inaccurate or misleading information from prior clinician

2024-12-26 13:24:31 UTC

Lack of days where contraception can be ordered by a clinician

2025-01-08 21:18:21 UTC

Not having a clinician experienced in IUD or Implants

2025-01-08 21:18:40 UTC

Not having evening hours

2025-01-08 21:18:50 UTC

Lack of assurance of confidentiality

2025-01-09 00:15:01 UTC

transportation to clinic for Rx. or not wanting partner/parents to know.

2025-01-09 21:26:30 UTC

Fear of physical barriers. I.E.: protestors outside a clinic.

2025-01-10 22:36:14 UTC

no appointments available

2025-01-13 02:56:32 UTC

Clinician bias and personal treatment standards

2025-01-13 16:27:01 UTC

cultural beliefs

2025-01-13 16:30:00 UTC

Limited access to healthcare

2025-01-13 18:17:00 UTC

Not fully understanding, some their first language is their native language, and than Spanish might be second, get a not fluent Spanish to English interpreter in a small rural clinic.

2025-01-13 20:21:36 UTC

short appointment times

2025-01-14 20:18:20 UTC

fear o confusion

2025-01-15 08:05:56 UTC

lack of providers in their area, having to travel out of their way & potentially having to take time off work

2025-01-15 16:49:12 UTC

Provider telling patient they are not ready for birth control

2025-01-15 17:00:31 UTC

False information from friends, family, internet

2025-01-15 22:30:55 UTC

Lack of consistent information across the clinic in spanish, english and other languages.

2025-01-15 23:54:03 UTC

Cultural stigma, religion preventing participation in certain activities if patient using birth control

2025-01-16 16:49:45 UTC

the fear of experiencing side effects, and fear of asking consent from family due to age, and personal belief

2025-01-20 19:55:31 UTC

LOW INCOME

2025-01-23 21:10:29 UTC

not enough training (for IUD)

2025-01-27 23:19:49 UTC

Appointment Time: In the rural area the wait time with an appointment is a challenge for working expectant mothers. It takes half a day for them to be seen.

2025-01-29 21:05:38 UTC

Undocumented: Pts now afraid to come to the clinic for fear of being arrested and deported

2025-02-02 19:49:39 UTC

insurance doesn't cover their preferred method of pregnancy prevention

2025-02-03 01:30:32 UTC

Pain and long term effects

2025-02-04 13:50:22 UTC

Unnecessary medical practices, not up to date policies

2025-02-04 22:41:58 UTC

Provider not respecting patient choice in birth control even though they research their options.

2025-02-05 20:16:48 UTC

Live in rural areas, the closest clinics offering this are too far.

2025-02-05 23:28:44 UTC

lack of language accessibility

2025-02-05 23:28:59 UTC

diverse gender expressions

2025-02-06 03:24:31 UTC

Clinicians don't assess at every visit

2025-02-06 23:23:29 UTC

Influence of peer's experiences.

2025-02-07 20:31:51 UTC

Women in their early 20s who have had only 1 child or no children want to get tubal ligation, but the provider won't give it to them because they are too young and may make their minds up in the future.

2025-02-07 20:33:35 UTC

Provider may have bies about given IUD to teenagers or patients who have not had pregnancies before.

2025-02-07 20:35:57 UTC

limited education or knowledge on contraceptive methods therefore scared to even get inquire

2025-02-10 20:45:53 UTC

friends or family providing false knowledge or scaring patient into a decision (ex. " im scared of a iud because my cousin says its not healthy for your body")

2025-02-10 20:47:14 UTC

Lacking education of birth control and inefficient funds.

2025-02-11 20:50:28 UTC

Medical coverage of contraceptives - limited or lack thereof knowledge.

2025-02-11 22:08:47 UTC

Do not know all of the options that are out there and how they work.

2025-02-12 17:28:25 UTC

lack of education and language barrier

2025-02-13 23:13:24 UTC

Too short of appointments to do all the things needed or wanted to be done by patient

2025-02-14 21:19:00 UTC

lack of provider education

2025-02-17 17:54:44 UTC

Influence of peers who are not properly educated

2025-02-18 20:17:45 UTC

Providers not wanting to do a hysterectomy due to pts age.

2025-02-18 20:18:36 UTC

Language and cultural barrier

2025-02-18 20:37:57 UTC

knowledge of different birth control options.

2025-02-18 21:15:53 UTC

Fear of spouse/parents/any guardian type figure in patients life. Even if they can attend actual appointment alone, bills or online portals can mention birth control discussions or birth control placement procedures.

2025-02-19 13:30:16 UTC

Trauma

2025-02-20 16:19:47 UTC

Lack of education

2025-02-21 15:32:42 UTC

understaffed/no BC provider on-site

2025-02-24 02:22:38 UTC

Fear of side effects

2025-02-27 20:01:47 UTC

language, the use of the interpreter is of great help but direct communication with the health provider is much better. Many health professionals speak 2 or more languages, it would be important to use a badge or badge indicating the languages you speak to improve doctor-patient communication.

2025-03-05 15:01:22 UTC

lack of information

2025-03-06 14:23:13 UTC

Limited time in visits, patients' prior negative experiences with side effects or inadequate pain control during procedures, misinformation from the Internet

2025-03-16 18:22:14 UTC

appointment availability

2025-03-17 13:59:36 UTC

Some (but not all) of our providers are not trained to administer IUD's, slowing care.

2025-03-19 13:30:59 UTC

Language barriers

2025-03-19 18:54:34 UTC

Lack of education on contraceptive use from previous providers

2025-03-19 18:55:12 UTC

Patients do not have enough knowledge on what hormones are in the birth control and sometimes rely on others experience not to use a type of bc options.

2025-03-19 19:26:48 UTC

lack of knowledge

2025-03-20 17:46:13 UTC

Needing a separate appointment for BC counseling and contraceptive device insertion.

2025-03-21 14:14:08 UTC

Insufficient funding and a lack of educational initiatives within our communities pose significant challenges. It is essential to provide family planning resources directly to families in these areas.

2025-03-21 15:36:36 UTC

Past trauma, fear of side effects, fear of judgement.

2025-03-31 17:47:59 UTC

No Spanish speaking provider available.

2025-04-02 14:46:13 UTC

Lack of knowledge and education

2025-04-06 16:47:46 UTC

Religious guilt and shame

2025-04-14 13:55:24 UTC

Fear won't be able to get pregnant in future

2025-04-17 15:21:31 UTC

clinic hours barrier to care, due to work, school, child care conflict

2025-04-17 15:22:39 UTC

Clinicians understanding how the medication works, and figuring out who is clinically a good candidate for what

2025-04-18 18:17:51 UTC

Not willing to discuss with the Clinician

2025-04-21 03:58:18 UTC

trans patients on testosterone fearing lack of access to comfort measures during iud placement

2025-04-22 14:00:51 UTC

Lack of knowledge and education poverty stricken communities

2025-04-23 16:26:17 UTC

lack of insurance

2025-04-23 17:52:35 UTC

Language Barrier - Cultural believes

2025-04-23 19:32:47 UTC

Transportation problems

2025-04-29 17:33:36 UTC

fear of side effects

2025-05-02 19:31:49 UTC

language and education barriers

2025-05-07 01:19:28 UTC

Scared to tell the parents that they are sexually active.

2025-05-09 13:05:10 UTC

geographical limitations

2025-05-09 13:25:43 UTC

Inefficient staff training on workflow/ordering, along with too many people involved in procurement, causes confusion and delays patient care. The Provider and their Medical Assistant should manage these tasks during the patient visit; introducing an additional member, such as a PA Coordinator adds unnecessary complexity.

2025-05-12 13:02:56 UTC

not enough time during the visit

2025-05-12 14:56:51 UTC

Language Barriers, lack of insurance, and culture/religious beliefs

2025-05-13 14:41:29 UTC

Lack of time in appointment visits to address contraception along with other concerns

2025-05-14 15:26:20 UTC

Not all teenagers know about contraceptive care because their parents and the school have not discussed it with them.

2025-05-16 20:15:18 UTC

patients not aware there is a women health provider available.

2025-05-20 17:46:04 UTC

Teenagers not wanting parents to know or not having insurance/ money to pay for BC

2025-05-20 17:46:46 UTC

fear of pain, fear of complications, and lack of access to proper childcare during visits. Also, judgment from sexual partners.

2025-05-23 21:59:33 UTC

Trusting the provider who is providing care.

2025-05-27 15:43:07 UTC

cultural beliefs and lack of knowledge

2025-05-27 19:51:13 UTC

Health Literacy

2025-05-28 14:25:43 UTC

Patients often don't have PTO or sick time for doctor's appointments and have difficulty coming to clinic during traditional business hours

2025-05-29 18:38:33 UTC

Uncertain -- The patient does not want to become pregnant but also does not want birth control.

2025-06-06 14:15:26 UTC

Misinformation, fear of pain, and past trauma.

2025-06-09 05:13:23 UTC

Fear mongering & religious biased

2025-06-18 16:58:23 UTC

already taking too many medications

2025-06-18 20:07:33 UTC

Teenagers having to defend/hide their chosen contraception or having to abide by the choice their guardian would prefer for them

2025-06-23 20:12:01 UTC

Nerves

2025-06-23 22:22:16 UTC

lack of knowledge due to miss information and talking about birth control is a taboo subject in the culture.

2025-06-23 23:40:37 UTC

attending to more than one issue at a time, patient is at the clinic for hypertension then wants to ask for birth control often needs to attend to one need at a time

2025-06-24 17:54:43 UTC

Lack of funding to place nexplanons due to cost.

2025-06-24 18:03:25 UTC

lack of time

2025-06-24 21:09:36 UTC

we don't have enough contraceptives in office

2025-06-24 23:42:50 UTC

fear of side effects and parents finding out.

2025-06-25 18:34:42 UTC

Transportation

2025-06-25 19:42:02 UTC

Not enough availability of appointments

2025-06-25 19:42:24 UTC

Family bias, family or parents trying to make the decision about contraception for the patient.

2025-06-25 19:43:11 UTC

Financial Struggles

2025-06-30 12:56:29 UTC

State laws preventing providers and staff to discuss options with youth w/o parental permission.

2025-07-01 18:39:44 UTC

Parents refusing to allow staff to discuss contraception/safe sex practices to avoid pregnancy, STI, etc. with underage patients.

2025-07-01 18:40:51 UTC

Drug interactions with current scripts

2025-07-01 18:50:20 UTC

fear of side effect on different type of bodies

2025-07-03 18:04:37 UTC

Lack of time for appointment

2025-07-03 19:51:41 UTC

Partners making a decision for them

2025-07-08 16:06:33 UTC

Clinic does not offer IUD implantation

2025-07-09 01:41:19 UTC

Uninsured patients being unable to pay out of pocket

2025-07-09 14:47:47 UTC

Concerns of hormonal changes body will go through

2025-07-10 20:38:09 UTC

Not being offered options/education during a regular clinic visit

2025-07-14 04:26:21 UTC

Insurance not covering hormone-free BCMs.

2025-07-14 14:49:36 UTC

Lack of time during a single visit, most have to be rescheduled for a LARC device because 15 min isn't long enough to discuss all options and insert the device.

2025-07-14 17:20:30 UTC

No availability soon enough

2025-07-14 18:26:06 UTC

Assumptions that if a patient wants/needs to start or change contraceptives that they will ask for it. We should be screening, offering, and evaluating contraceptive care REGULARLY!

2025-07-15 14:28:47 UTC

Doctors disregarding medical history and how that can affect the patient's choice of birth control

2025-07-15 23:05:11 UTC

I have not experience any when trying to access contraceptive care

2025-07-15 23:15:09 UTC

Difficulty making it to the scheduled appointments.

2025-07-21 15:55:37 UTC

Language barriers, lack of education, religious differences

2025-07-21 15:58:43 UTC

Patients in rural communities unable to get a sooner appointment because lack of primary care providers or don't have a provider that is able to insert IUD.

2025-07-21 17:47:08 UTC

Due to the current political climate in the USA and reproductive rights being threatened, along with ICE raids, I find that patients are fearful of even showing up to their appointments.

2025-07-22 19:16:14 UTC

Inaccessibility due to available sources, and misinformation, lack of sex education and understanding.

2025-07-23 15:31:55 UTC

No insurance

2025-07-23 15:43:27 UTC

Uncertainty/anxiety about the ideas/practices of contraceptive care

2025-07-23 15:52:38 UTC

Fear of becoming infertile

2025-07-23 15:55:57 UTC

Language barriers may also get in the way of a pt getting birth control.

2025-07-23 17:22:57 UTC

homeless population with the inability to get to appointments or afford contraceptives on a regular basis

2025-07-23 20:34:40 UTC

Reimbursement: separating preventative visits from birth control visits.

2025-07-23 22:52:13 UTC

Hormonal changes

2025-07-23 23:53:18 UTC

Not fully understanding all their options and having misconceptions about how some methods work.

2025-07-24 15:30:46 UTC

the majority of the patients ask questions about the side effects and weight gain.

2025-07-24 19:26:02 UTC

Uncomfortable talking to someone about intimate topics in fear of being judged

2025-07-25 18:43:59 UTC

side effects

2025-07-25 21:06:38 UTC

the idea that usage of BCM predisposes individuals to promiscuity; which in itself places the entire community at risk.

2025-07-25 21:31:42 UTC

Immigration status

2025-07-27 03:04:05 UTC

Parents/family could be Catholic, and patient could be ashamed or fearful of being found out if taking birth control measures, other than natural measures.

2025-07-28 19:09:03 UTC

Immigration status. Fear of seeking care due to illegal immigration status.

2025-07-29 16:52:52 UTC

language barrier makes for confusing experience at the clinic

2025-07-29 20:34:42 UTC

My health center doesn't offer contraceptive placement at the same during a well visit. We end up having to schedule patient another appointment just for contraceptive management.

2025-07-30 16:56:19 UTC

Financial insecurity, uninsured or underinsured, transportation, and fear of health care in general particularly for the patients who have concerns surrounding their immigration status

2025-08-01 15:52:38 UTC

pt does not have enough knowledge

2025-08-04 18:18:17 UTC

Religion

2025-08-05 12:50:08 UTC

Teenage patients having to get consent from parents prior to getting BC.

2025-08-05 19:20:38 UTC

not knowing if they are making the right choice to start birth control and not knowing antibiotics make birth control not work

2025-08-06 18:45:31 UTC

Lack of knowledge around options and true likelihood of unintended pregnancy without preventative measures

2025-08-06 19:57:06 UTC

Fear as family members/friends or community members relay inaccurate information about hormonal birth control and side effects.

2025-08-07 22:21:04 UTC

need more education of methods and side effects vs. adverse effects.

2025-08-07 22:40:47 UTC

Cultural misunderstanding regarding birth control. Patient religion can have an affect on a person's view regarding birth control. Patient grows up and was taught birth control is a bad thing in certain cultures and is frowned upon.

2025-08-08 17:43:52 UTC

Education: Lack of training of pediatric providers to offer education on birth control methods.

2025-08-08 21:25:29 UTC

challenges with getting parents out of the room at teen visits (logistics, space, risk of overheaing confidential discussions)

2025-08-11 23:33:39 UTC

TRANSPORTATION ISSUES

2025-08-12 18:01:04 UTC

fear of judgement

2025-08-13 15:50:37 UTC

Lack of knowledgement and fear of judgement.

2025-08-13 17:14:15 UTC

No insurance. Lack of knowledge

2025-08-13 17:17:14 UTC

Initial method doesn't work well (e.g., IUD), then subsequent reluctance to try something else

2025-08-13 20:08:40 UTC

Parents of minors are not educated enough or scared that if their child gets BC for acne or period control that they are being encouraged to become sexually active

2025-08-13 23:13:30 UTC

Scared of the side effects.

2025-08-14 18:46:29 UTC

the time it takes to explain all birth control methods while also understanding what the patient's goals for birth control are

2025-08-18 16:58:51 UTC

Beliefs, religion, Trauma, not enough time in a visit, lack of education, Family and culture, being under 18 and not having enough birth control education, fear that parents will find out. Lack of time to counsel, information not offered.

2025-08-18 22:12:07 UTC

Patients have driven nearly an hour for an "establish care" visit that is only supposed to be for getting acquainted, but often are intersted in contraception. Many ask for confidential visits or are fearful of using Depo or the pill due to weight gain or acne/mood. Some follow things they heard on the internet, I had a friend in high school get pregnant since they thought since their partner smoked weed he would be infertile, then later needed a termination of undesired pregnancy

2025-08-19 14:58:03 UTC

Age

2025-08-20 02:22:19 UTC

fear of side effects, thinking they may not be able to have kids in a future.

2025-08-20 17:56:51 UTC

Lack of time during Office Visits, language barriers, poor knowledge of clinical staff. Some providers won't address more than 2 concerns per visit.

2025-08-20 21:11:31 UTC

Judgement

2025-08-21 13:54:39 UTC

Historical procedures and medications that caused unintended side-effects that wasn't communicated to patients until too late. Not understanding the current options.

2025-08-21 14:58:23 UTC

Not enough information about side effects from different birth control methods.

2025-08-21 20:49:33 UTC

cultural/religious beliefs

2025-08-22 14:03:23 UTC

Culture believes

2025-08-22 18:26:02 UTC

Insurance companies not wanting to cover birth control.

2025-08-23 21:13:08 UTC

Lack of hcp and patient education.

2025-08-26 11:31:10 UTC

Lack of insurance of lack of time during/for an appointment

2025-08-27 07:32:25 UTC

Lack of insurance/prior auths delaying preferred methods or co-pay costs

2025-08-27 13:07:08 UTC

Husband objects to wife having contraception thinking wife will want to have sex with other men as there is no chance of becoming pregnant by them.

2025-08-27 17:21:59 UTC

lack of providers that are trained to place IUD's

2025-08-27 19:39:05 UTC

Lack of education and low income

2025-08-27 20:01:05 UTC

Many are under insured or not native to this country.

2025-08-27 20:43:37 UTC

Lack of education from the provider

2025-08-29 02:21:16 UTC

Fear of Partner finding out about taking birth control

2025-08-29 21:28:04 UTC

Rx costs, rides to the clinic

2025-09-02 01:41:49 UTC

Rural

2025-09-02 19:30:21 UTC

weight gain

2025-09-04 14:44:47 UTC

Lack of understanding, staff with limited knowledge.

2025-09-05 18:54:58 UTC

Insufficient education on all birth control options. Not as informed for asexual folks who want to be on birth control

2025-09-09 14:06:00 UTC

Hospitals not allowing providers to do tubal ligations while doing c-section birth due religion of hospital not patient.

2025-09-09 14:07:21 UTC

fear, misinformation, lack of time during appt

2025-09-09 18:03:32 UTC

My mom had trouble getting pregnant after birth control, so I fear I will too

2025-09-10 23:25:45 UTC

It may cause a conflict with the patient's religious beliefs/faith

2025-09-12 17:49:06 UTC

fear of side effects, like gaining weight.

2025-09-12 18:10:21 UTC

Uninsured

2025-09-16 02:50:59 UTC

Lack of reliable transportation

2025-09-17 19:02:39 UTC

Provider in a hurry and asking patient to return for another visit.

2025-09-18 16:26:31 UTC

A clinician didn’t want to offer IUDs to teenagers because if they had an issue and needed an ultrasound they couldn’t do it confidentially

2025-09-19 22:38:13 UTC

Complex health history making them ineligible for many forms of birth control they might desire to use.

2025-09-20 21:59:40 UTC

anxiety

2025-09-22 21:56:50 UTC

Patients not wanting any device in there body but long term and effective BCM.

2025-09-25 14:00:52 UTC

fear of being judged or looked at differently by parents and even doctors judgement.

2025-09-25 18:46:59 UTC

Undocumented immigrants, low income, people with no transportation to clinics,

2025-09-25 22:54:43 UTC

Religious reasons - birth control might be against there religion

2025-09-29 13:41:18 UTC

Lack of knowledge about the different forms of birth control and their risks/benefits.

2025-09-29 14:28:56 UTC

Fear of severe cramping, hormones fluctuating and weight gain.

2025-09-30 15:15:00 UTC

Forced to prioritize time for other things, such as home or career, instead of medical appointments

2025-10-01 19:16:52 UTC

fears from stories they have heard from friends about experiences with different types of birth control

2025-10-02 16:08:07 UTC

Fear of side effects, definitely with injectables and implants.

2025-10-05 19:41:28 UTC

challenges going to a clinic around their work schedule and long wait times forcing them to leave if their employer is asking where they are

2025-10-09 03:15:00 UTC

Language Barriers

2025-10-15 15:52:42 UTC

Lack of provider time to offer family planning routinely

2025-10-15 16:35:30 UTC

short appointment time once they get in front of the clinician

2025-10-16 00:27:20 UTC

coverage concerns not knowing about different types of access to contraception

2025-10-16 05:23:42 UTC

insurance coverage

2025-10-16 14:12:39 UTC

Fear of being pressured into taking birth control because it is easier for providers prescribe it then actually taking the time to find the root of the issue and other solutions.

2025-10-16 14:39:10 UTC

I've seen patients express discontentment over the brand of contraceptive that was offered

2025-10-16 19:07:12 UTC

Lack of appointment availability.

2025-10-16 20:08:10 UTC

Lack of education and afraid to be found out they are sexually active

2025-10-17 20:06:18 UTC

Lack of education and about available options

2025-10-22 20:37:56 UTC

I hated the way I felt after using the IUD for a few years and the weight gain was too much. I lost all of my libido when I was on it, which caused a lot of problems at home with my boyfriend at the time. Once I took it out, I felt like myself again.

2025-10-24 15:26:54 UTC

Confidentiality

2025-10-24 18:47:34 UTC

anti fat bias from the provider

2025-10-25 02:20:39 UTC

.

2025-10-27 18:20:31 UTC

no timely appointments available

2025-10-27 19:18:35 UTC

Associated costs, especially if uninsured or underinsured.

2025-10-28 17:40:54 UTC

Lack of insurance and fear of inability to conceive after using birth control

2025-10-30 16:40:26 UTC

Depo caused me to have PCOS

2025-10-31 20:58:40 UTC

myths and beliefs

2025-11-04 17:42:06 UTC

fear of the unknown

2025-11-04 21:17:46 UTC

Some teens are embarrassed to come talk to someone about getting birth control.

2025-11-06 00:55:20 UTC

lack of provider training

2025-11-06 19:48:30 UTC

clients embarrassed to ask for birth control.

2025-11-06 21:15:58 UTC

Young people not wanting their parents to find out.

2025-11-06 21:27:28 UTC

Lack of Education and cultural

2025-11-07 20:46:07 UTC

no insurance

2025-11-07 21:23:29 UTC

Cost and insurance issues and lack of education or awareness.

2025-11-07 22:42:54 UTC

Fear of parents finding out they are sexually active.

2025-11-10 15:23:41 UTC

Fear of unwanted side effects: weight gain, etc

2025-11-10 15:24:01 UTC

Social and religious restrictions and expectations

2025-11-11 00:49:17 UTC

Insurance

2025-11-12 06:04:43 UTC

men often do feel responsible for considering or discussing contraception with their sexual partners due to the fact that they themselves cannot become pregnant.

2025-11-12 22:26:22 UTC

Young people such of various ethnicities often have a hard time seeking help with contraceptive care.

2025-11-13 15:47:35 UTC

Lack of training and understanding the differences between the options. Language barriers, or discrimination to people of color.

2025-11-13 20:27:47 UTC

Needs it Confidential from partner

2025-11-14 06:28:48 UTC

lack of knowledge related to different options

2025-11-14 08:10:41 UTC

patients lack of insurance

2025-11-17 16:56:21 UTC

The clinic not offering the method they desire i.e., IUD and patient lacks resources to go to specialist or another clinic to obtain.

2025-11-17 21:19:42 UTC

Lack of education on side effects for each option of birth control, which causes fear in so many (myself included) the lack of pain control for the IUD insertion (especially for those who have never had children, the way it was described was scary and the pain was honestly indescribable to me and I had to take the next day off from work and school) and the Nexplanon insertion/removal.

2025-11-17 22:18:25 UTC

Lack of education on possible complications from all birth controls, the misinformation from so many different sources.

2025-11-17 22:18:38 UTC

It is upsetting how girls find it embarrassing to come to their provider and discuss how the birth control can also affect their partner as well. For example how the strings of the IUD can "poke" their partner during intercourse.

2025-11-17 22:23:09 UTC

Financial, uneducated about options available, fear

2025-11-18 02:48:25 UTC

Young women not wanting their parents to find out.

2025-11-19 22:03:27 UTC

intergenerational trauma from the Tuskegee Syphilis Study

2025-11-20 00:49:10 UTC

Too Expensive/Not covered

2025-11-20 17:39:40 UTC

Bias of provider preference. Some providers use more IUDs because they feel comfortable placing them and assume that patients will have less "complaints" with this method than others. They also do not require titration or refills making it "easier" on the provider. Neither should be reasons to push IUDs

2025-11-21 14:36:18 UTC

Insurance does not cover the contraceptive that the Dr. recommended.

2025-11-21 19:31:00 UTC

low income - patients not being able to afford the care that they want so they have to take a different route.

2025-11-22 19:13:47 UTC

Reproduction is a physiological process, which is essential for procreation. The patient education is most important, should be coming from families, religion, schools and health care team as early as possible. To complicate matters we have socioeconomic disparities in developed countries too. Health care is no exception from all the biases and shortcomings like any other services. Working along with the patient in their best interest may help address induvial needs

2025-11-25 00:03:55 UTC

Lack of education is a big barrier in our clinics

2025-11-26 22:29:41 UTC

lack of insurance, concern for side effects

2025-11-30 22:15:24 UTC

Not wanting their family to know

2025-12-01 13:59:09 UTC

inaccurate/misinformation from their peers or community

2025-12-01 17:40:02 UTC

Concern that their parents will find out.

2025-12-01 21:28:23 UTC

1. Side effects. 2. comorbidities

2025-12-02 20:10:08 UTC

We have one OBGYN provider once a month and if a patient can't come that day they can't get an implant.

2025-12-03 18:14:38 UTC

Some people afraid to speak up and ask for more information on contraception due to what they may have heard from someone else that might have had bad experiences with contraception.

2025-12-05 17:41:29 UTC

cost

2025-12-05 19:15:20 UTC

Fear of the long-term effects.

2025-12-08 23:52:56 UTC

i feel like for teens the conversation around contraceptives and intercourse feels taboo and uncomfortable but that feeling causes many patients to feel unsafe being open and honest about their medical history

2025-12-09 18:56:11 UTC

Teens afraid their parents will find out. Misinformation about fertility .Financial concerns.

2025-12-10 14:24:48 UTC

does not want to discuss when parents are present

2025-12-12 14:58:50 UTC

Partner involvement in choices of contraceptive negatively impacted the preferences of the woman.

2025-12-17 19:12:11 UTC

Peer pressure that impacts the choice of the client

2025-12-17 19:13:34 UTC

I totally agree with answers given.

2025-12-26 17:40:51 UTC

Politics - our district's school board would only allow a school-based health center with the stipulation that no contraceptive care could be provided there.

2026-01-06 14:13:48 UTC

Misinformation or incomplete information due to social media. Some teens and young women are fearful of using depo due to concerns around cancers (meningioma)

2026-01-09 23:59:13 UTC

Anxiety

2026-01-13 16:27:52 UTC

fear of side effects

2026-01-15 16:19:54 UTC

Providers lack of education

2026-01-17 03:11:39 UTC

Not realizing that birth control can help other reproductive issues, and is not only for use if sexually active.

2026-01-18 02:21:44 UTC

Lack of Communication - Unsure what they want or what options are there. Understanding they are not alone

2026-01-21 17:09:07 UTC

Appointments are too short for IUD or Implant placements same day, and the patient doesn't make it to a second appointment

2026-01-23 18:29:04 UTC

Religious Beliefs.. Catholic Church shaming any type of contraceptive.

2026-01-26 15:46:14 UTC

Patient was not able to have IUD covered by insurance.

2026-01-26 21:10:13 UTC

Transportation issues making it hard for pts to get in to clinic

2026-01-28 13:55:31 UTC

Misinformation from friends/family/internet

2026-01-28 13:56:45 UTC

Fear of pain during LARC and implant procedures.

2026-01-28 14:12:52 UTC

Partners want different methods

2026-01-28 15:10:26 UTC

Details on each birth control not given enough. Examples, the hormone levels, how long it takes for each to take effect.

2026-01-28 15:47:09 UTC

unknown/known side effects

2026-01-28 20:59:42 UTC

lack of information regarding birth control unless you literally seek a doctor about it.

2026-02-02 21:07:53 UTC

Cost

2026-02-03 00:43:02 UTC

not a full understanding of which method works best for the specific needs

2026-02-04 01:32:04 UTC

college students that study far from home may not have accessible care.

2026-02-11 18:41:34 UTC

fear of not being able to conceive after being on birth control for a long period of time

2026-02-12 20:36:57 UTC

Not wanting your partner to find out

2026-02-16 16:23:23 UTC

Judgment from healthcare personnel

2026-02-17 13:32:12 UTC

Language barriers. Providers feel rushed.

2026-02-17 13:51:53 UTC

No insurance

2026-02-17 16:41:25 UTC

Lack of insurance to afford the birth control method they want.

2026-02-17 19:49:53 UTC

Transportation to appointments

2026-02-20 15:42:57 UTC

Lack of providers who can place nexplanons

2026-02-24 18:37:33 UTC

fear of "messing up my hormones"

2026-02-26 20:54:54 UTC

Does not want extra hormones in their bodies.

2026-02-26 21:03:10 UTC

Fear of birth control causing long term complications to their body

2026-03-04 15:15:07 UTC

Poor experience with a contraceptive method- heavy bleeding or painful periods.

2026-03-05 18:09:46 UTC

Patients with no insurance fear high cost.

2026-03-11 23:24:08 UTC

side effects of contraceptives

2026-03-12 16:34:53 UTC

Fear of not being able to get pregnant in the future.

2026-03-12 17:45:16 UTC

Deep-seated misconceptions about potential for infertility with birth control despite desire to prevent pregnancy within the year

2026-03-16 15:55:46 UTC

stigma of parents finding out they are sexually active

2026-03-16 18:27:28 UTC

Some women, particularly the younger population, can be embarrassed to ask for contraception. It's important to put them at ease and let them know this is an important and wise decision

2026-03-17 14:17:52 UTC

language barriers

2026-03-20 20:48:19 UTC

reproductive health-some have a concern of it messing up their chances of getting pregnant later in life.

2026-03-23 14:57:18 UTC

Fear of judgement from others

2026-03-25 18:13:29 UTC

People think that they cannot afford contraception so they do not ask about it or if asked they automatically say no due to not knowing that they may be able to receive it.

2026-03-27 13:48:43 UTC

not time to go

2026-03-31 17:32:03 UTC

Lack of education starting at a young age since some parents have the belief that BC is used because you want to be sexually active rather than the other benefits BC truly has.

2026-03-31 18:01:06 UTC

Barriers patient experience when trying to access Birth control is lack of knowledge, options, and insurance and cost.

2026-04-01 15:12:59 UTC

It's a barrier when a provider will only authorize refills for 6 months, especially when the patient is attending college out of state.

2026-04-01 15:29:06 UTC

Partner

2026-04-01 15:30:19 UTC

Side Effects

2026-04-01 15:31:09 UTC

no samples of contraception for folx to try and take away

2026-04-01 17:54:29 UTC

side effects - most have tried one kind of birth control and has bad side effects and would rather stop it all together instead of switching to another

2026-04-01 20:12:55 UTC

uninsured

2026-04-06 16:03:05 UTC

Procedure deferred to f/u visit due to time constraint

2026-04-07 11:58:14 UTC

because i want birth control means I'm sexually active and that is not true...

2026-04-08 12:28:15 UTC

low income. Not aware of their options.

2026-04-08 16:22:36 UTC

Being told that I should have another child, she didn't tell to stop my birth control. It made very uncomfortable i never went to the place again.

2026-04-09 23:51:56 UTC

Fear of the pain associated with LARCs and financial barriers

2026-04-12 02:11:48 UTC

Patients lack sexual health education and are misinformed about their sexual health and family planning.

2026-04-12 15:33:37 UTC

No insurance, cost of birth control

2026-04-12 20:12:55 UTC

White coat anxiety, anticipating being judged by a provider

2026-04-14 17:58:11 UTC

this isnt fair

2026-04-20 19:31:48 UTC

testing

2026-04-20 19:31:57 UTC

hello

2026-04-20 19:32:24 UTC

fear of parents or partner finding out

2026-04-21 01:06:02 UTC

Not being listened to

2026-04-23 21:14:07 UTC

adverse reaction

2026-04-24 18:34:05 UTC

not being given all the tools to make the best choice for their wants and needs

2026-04-28 23:38:26 UTC

Feeling like they'll be judged. Eg: teenager walking into a family planning unit to ask and instead being told to practice abstinence

2026-04-29 15:57:54 UTC

Being told they need a parent present if they are under 18.

2026-04-30 13:15:42 UTC

Misinformation

2026-04-30 22:10:45 UTC

Cost no insurance

2026-05-02 13:18:13 UTC

provider bias - patient's not getting an IUD because they are not on their period.

2026-05-04 16:13:02 UTC

Patients thinking contraception is only useful if they are sexually active

2026-05-05 16:55:49 UTC

Anonymous

2026-05-05 21:10:49 UTC

not wanting parents to know

2026-05-05 22:17:52 UTC

Insurance, No money

2026-05-06 13:50:50 UTC

Fear of pain

2026-05-06 13:54:12 UTC

Patients who do not have medical insurance sometimes cannot have the type of birth control they want.

2026-05-06 14:09:06 UTC

lack of knowledge, education & insurance.

2026-05-06 14:33:12 UTC

not having different methods available at patient visit

2026-05-07 18:24:59 UTC

Not having the necessary tool to place IUD for example: Cervical Dialators.

2026-05-07 19:16:49 UTC

LACK OF INSURANCE

2026-05-12 20:12:13 UTC

Younger Patients not being able to choose their method of birth control because their guardian chooses for them.

2026-05-13 00:54:42 UTC

money

2026-05-14 13:56:54 UTC

Fear of weight gain and becoming depressed.

2026-05-14 23:25:25 UTC

Side effects (weight gain, hormonal changes, infertility)

2026-05-15 18:22:43 UTC

Difficulty getting in to schedule with a provider able to insert an IUD or implant.

2026-05-18 17:26:11 UTC

not feeling as though their provider has their best care in interest and is just pushing out birth control pills

2026-05-19 15:16:42 UTC

Lack of appropriate insurance

2026-05-20 14:26:53 UTC

Lack of insurance

2026-05-23 01:53:42 UTC

Fear of weight gain

2026-05-24 21:31:09 UTC

Tear down the walls keeping them silent. Language barriers and poor patient education leave many women in the dark. Without a safe space to talk honestly about their bodies and lives.

2026-05-26 19:50:23 UTC

access to provider

2026-05-31 21:24:46 UTC

Lack of knowledge of different methods

2026-06-05 13:15:16 UTC

Transmasculine patients who are uninformed of pregnancy risk (i.e. believing testosterone stopping periods means they can't get pregnant)

2026-06-05 13:15:33 UTC

Scared of parents finding out

2026-06-05 18:55:52 UTC

Not taken seriously when experiencing painful symptoms of contraceptives (ovarian cysts) and told you just have to "Deal with it".

2026-06-09 17:33:35 UTC

A correlation between birth control causing infertility.

2026-06-09 21:54:45 UTC

due to no insurance.

2026-06-09 22:13:12 UTC

Cost

2026-06-10 21:10:00 UTC

Most effective instead of patient preference

2026-06-15 15:33:16 UTC

fear of side effects

2026-06-16 01:45:35 UTC

not wanting to put things in your body that you do not fully understand how it affects it

2026-06-17 13:59:29 UTC

fear of having some side effects

2026-06-23 17:31:56 UTC

Immigration and insurance status.

2026-06-24 15:15:48 UTC

Fear of side effects and lack of information to the patient

2026-06-25 13:48:41 UTC

Being uninsured or not eligible to qualify for RH programs due to immigration status.

2026-07-02 16:37:36 UTC

Lack of insurance

2026-07-06 18:06:18 UTC

helath insurance

2026-07-07 21:38:02 UTC

I've seen patients run into the barrier of not having insurance.

2026-07-07 22:22:18 UTC

Lack of knowledge of methods

2026-07-08 14:29:18 UTC

Provider said the patient was too young (they were 25) and would inevitably want kids later regretting the procedure so he was really saving them by not giving them what they want

2026-07-08 16:15:07 UTC

long-term impact

2026-07-10 13:46:21 UTC

Lack of insurance

2026-07-13 00:15:36 UTC

Fear

2026-07-15 02:05:01 UTC

confidentiality

2026-07-16 19:33:41 UTC

confidentiality and proxy access

2026-07-16 20:21:23 UTC

Lack of insurance

2026-07-21 20:08:36 UTC

provider time, insurance coverage, confidential care request for minors with EOBs sent to parents, lack of education, provider bias

2026-07-23 18:22:53 UTC

fear of side effects

2026-07-28 13:58:27 UTC

capitalism

2026-07-28 22:29:40 UTC

Bias against women who do not want children. Cultural concerns that women who feel this way are selfish -especially if they are educated or financially stable.

2026-08-04 13:56:41 UTC

Assumptions that teens are immature and will never become great parents.

2026-08-04 13:58:54 UTC

Language Barriers

2026-08-04 20:58:40 UTC

Practice doesn't buy and bill

2026-08-06 12:34:31 UTC

Misinformation and disapproval from family.

2026-08-06 19:15:06 UTC

Affordability. Lack of trained professionals for preferred contraceptive method

2026-08-10 17:14:24 UTC

Partner or parent/guardian may not agree with the patient's desired method, or may not be aware of or in support of the need for contraception

2026-08-10 17:44:59 UTC