TIC-TAC: A Simple Way to Approach Contraception

The TIC-TAC method is a simple strategy that helps a woman and her provider to narrow her options for birth control:

Timeline for next Pregnancy: Women wanting a pregnancy within a year are better suited to short acting options. For those planning more than a year, consider Long Acting Method.

Indications: Are there other reasons a woman uses a certain type of birth control? Common reasons include acne, and menstrual management.

Contraindications: Are there medical reasons why a method should not be used?

Tried Before: What has the woman tried before? Did they have concerns?

Anything Else: Are there alternative methods the woman may be interested in learning more about, or has heard of? This may be a good time to raise options not already discussed, such as Long-Acting Methods.

Coverage: How does the woman pay for drugs? Pay attention to provincial or territorial drug plans, extended health benefits, or Non Insured Health Benefits for Indigenous Women.

Remember: Women prefer that we help them to narrow their options to 2 or 3, and that they make the final decision. When unsure about the safety or suitability of a method, avoid discouraging a method. Rather, review data or refer for expert opinion.