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Repost from Medicine is a life✨
🌼A 40 YO smoker and overweight female presents with heavy periods (Menorrhagia). She would like a long-term contraceptive method.
↪️mirena
#Gynecology
Repost from Medicine is a life✨
🌼25 YO female is now 22 days after delivery and wishes a contraceptive method that does not include needles. She would like to get pregnant after 6 months.
↪️Progesterone-only pill .
#Gynecology
Repost from Medicine is a life✨
🌼A 31 YO female wants a reversible contraceptive method. She had C-section one year ago. She also complains of menorrhagia and dysmenorrhea.
↪️mirena
🪻C-section is not a contraindication for Mirena!
🪻In sexually active (requires contraception) + menorrhagia/
Dysmenorrhea/ or fibroids not distorting the uterine cavity
The first line Mirena (IUS) = Levonorgestrel Intrauterine System
(See above).
#Gynecology
Repost from Medicine is a life✨
🌼A 16 YO female who is not sexually active present complaining of
menorrhagia (heavy bleeding), Dysmenorrhea (Painful cycles) and Irregular
cycles.
↪️COCP
🪻In young pt. Not sexually active (don't requires contraception)
➖Menorrhagia only (Heavy menstruation)
↪️Tranexamic acid
➖Menorrhagia + Dysmenorrhea
↪️Mefenamic acid.
➖Metrorrhagia (irregular menses) +-Menorrhagia/ Dysmenorrhea
↪️COCP.
#Gynecology
Repost from Medicine is a life✨
🌼After initiating Depo-Provera 2 months ago, a female presents complaining of unscheduled bleeding.
↪️reassure and advice to return if bleeding become problematic
🪻The majority of females who start Depo-Provera (Progesterone-only 1M
injections taken once every 3 months "12 weeks") tend to have
intermenstrual spotting.
🪻This usually settles after a year of Depo-Provera use.
#Gynecology
Repost from Medicine is a life✨
🌼18 YO with some learning difficulties using condoms and want an alternative contraceptive method.
↪️nexplanon (implant)
🪻COCP is safe < 20 YO with no Cis. However, she has learning difficulties and thus may forget to take the pills.
🪻< 20 YO: IUS (Mirena) and Depo-Provera are better avoided (UKMEC2).
#Gynecology
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