Clinical TrialPublished 2 October 2026Impact of contraceptive initiation on the cervicovaginal mucosa: results from the UMPALA multicentre, partially randomized patient-preference interventional trialBetty Njoroge · Nelly Mugo · Carolina Herrera · Karen Dominguez · Louise A. Ouattara · Nazita Yousefieh · Neelima Chandra · Agnieszka Kurczewska · Stephanie Nartey · Julie Lewis · Andrea R. Thurman · Matilda Saina · Raina N. Fichorova · Jacques Ravel · Reem Sharaf Alddin · Nicola Richardson-Harman · Kenneth Ngure · Gustavo F. DoncelFrontiers in Reproductive Healthdoi 10.3389/frph.2026.1882772