PHAR 451 Lecture Notes - Lecture 3: Uterine Fibroid, Tubal Ligation, Transdermal Patch
21 Sep 2016
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Non-oral contraception: describe contraceptive and non-contraceptive benefits and risks of long acting reversible contraception (e. g. copper and hormonal intrauterine contraception (iuc), vaginal ring, medroxyprogesterone im, transdermal patch), distinguish between copper and hormonal iuc and respective mechanisms of action; Identify contraindications for iuc, and be able to identify appropriate candidates for this contraceptive choice: understand the incidence of infection (pid) related to iuc use. Would you like to become pregnant in the next year? . Md evaluation: weight, height, bp, pulse, pregnancy test, gonorrhea + chlamydia tests. Start contraception regardless of time in cycle on day of visit. Stress importance of condoms (in first cycle as backup) and with every new partner for sti prevention. Follow-up and side-effect monitoring are important; give info on what to do if miss dose. Encourage patient to contact md or pharmacist before discontinuing contraception. Obesity dramatically increases the hazards of pregnancy (eg. diabetes, hypertension, c-section)
