1: Managing Side Effects of Contraceptives Flashcards
1
Q
What do you do?
Libido changes
A
- Switch to option with greater androgen effect
- Possibly consider ring to increase lubrication
or
- Estrogenic COC
2
Q
What do you do? Mastalgia
A
Switch to low-dose estrogen and progestin option
3
Q
What do you do?
Hyperlipidemia
A
- Switch to progestin-only pills as preferred option
- Low-dose estrogen
4
Q
What do you do?
Unscheduled vaginal bleeding or spotting
A
Depends on occurrence in pill pack
5
Q
What do you do?
Absence of scheduled bleeding
A
Switch to more estrogenic or triphasal option
6
Q
What do you do?
Contact lens effects
A
No changes required
7
Q
What do you do?
Headaches
A
R/o stroke and switch to extended duration of estrogen
8
Q
What do you do?
Gastrointestinal complaints
A
- Switch to progestin-only pills
- Decrease hormones
9
Q
What do you do?
Skin Changes
A
- Consider low-androgenic, high estrogen option
- Approved acne treatment
- Progestin-only pills
10
Q
What do you do?
Weight changes
A
Decrease estrogen and possibly progestin
