u/RogueWave129

Do you allow your patients to pledge abstinence as their primary form of birth control while on Accutane? Or make it a requirement for them to be on a form of birth control regardless if they’re abstinent?

I normally allow my patients to choose abstinence and I make sure to enforce contraception counseling every month. However, today I had a patient’s pregnancy test come back positive. That resulted in a long phone call with iPledge and a difficult conversation with the patient. Safe to say, I would like to never experience that again.

I’m curious to know everyone’s insights on what they normally do. TIA!