Choosing a method of contraception includes recognition of client preference, safety, effectiveness and access. Many contraceptive methods also have added benefits beyond prevention of pregnancy. In this contraceptive update we will review the different methods of contraception that are prescribed in the United States today. An in-depth discussion will focus on client screening and determination of the best method for the individual client, including client education, follow-up and support. Discussion of emergency contraception methods will include mechanism of action, and client education.