Contraception

Question 1

Types of birth control can I use in a patient with a history of VTE, stroke, MI

Answer 1

POP
Nexplanon
P4 IUD

Not Depo

Question 2

What age to stop OCPs?

Answer 2

In healthy non smoking women, 50-55

Sterility rate 92%by age 50. fSH and estradiol levels not recommended

Caution with smoking, obesity, HTN, diabetes, migraine w aura

Question 3

Is the use of hormonal contraception safe for women with chronic hypertension

Answer 3

If blood pressure is below 140/90, yes

In women with blood pressure greater than 140/90, COC’s should not be used

If greater than 160/110, Depo should also not be used

Question 4

Is hormonal contraception safe For women with diabetes

Answer 4

COC’s and Depo Should not be used for women with diabetes of greater than 20 years duration or evidence of microvascular disease

Question 5

Contraception considerations for women with history of gestational trophoblastic disease

Answer 5

IUD should not be placed due to concern about bleeding, infection or perforation if hCG levels are elevated or malignant disease is suspected

Question 6

What kind of birth-control can be used in women taking anti-epileptic, anti-retroviral medication?

Answer 6

Depo-Provera and LNG IUD