Scenario A: Paternalistic
Doctor: We find that most women in your situation choose a coil and that’s what I would recommend for you. Let me tell you about the risks and benefits…
Scenario B: Informative
Doctor: There are lots of choices available. I have a comprehensive information booklet here about all the options and their risks and benefits. Why don’t you have a good look at that and let me know which you would prefer?
Scenario C: Shared decision-making
Doctor: What matters to you most about the choice of contraception? Is it reliability, minimal side effects, impact on your bleeding pattern or something else?
Patient: The most important thing for me, doctor, is not to get pregnant so early in a new relationship, so I would like the most reliable method.
Doctor: There are several options, including… Given that not becoming pregnant is your most important consideration, I would probably recommend the combined pill, assuming there aren’t any contraindications. What do you know about the pill?