A review and meta-analysis of 38 randomized controlled trials found that counseling patients about contraceptive use and providing contraceptives for patients wanting them in various clinical practice settings increases contraceptive use without increasing the risk for sexually transmitted infections (STIs) or reducing condom use compared to usual practice. Counseling and provision interventions also decrease unintended pregnancy in trials designed to evaluate this outcome. At a time when abortion rights are threatened, an accompanying editorial suggests that contraceptive counseling and provision must immediately become a routine part of medical care. The analysis is published in Annals of Internal Medicine.