MKSAP: 19-year-old woman is seen for counseling regarding contraceptives
Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.
A 19-year-old woman is seen for counseling regarding contraceptives. Medical history is unremarkable; she is nulliparous and has never taken prescription contraceptives. Her father had a pulmonary embolism at age 47 years, which was associated with arthroscopic knee surgery, and her 23-year-old sister experienced a deep venous thrombosis 3 weeks after delivering her first child. The patient does not smoke and takes no medications.
On physical examination, she appears well. Vital signs are normal; BMI is 31. The remainder of the examination is unremarkable.
She states that she does not want to use a copper intrauterine device (IUD).
Which of the following contraceptive methods would be most appropriate for this patient?
A. Estrogen-progestin vaginal ring
B. Low-dose combination estrogen-progestin pill
C. Progestin-releasing IUD
D. Transdermal estrogen-progestin patch
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Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: < a href="https://www.kevinmd.com/blog/post-author/mksap" rel="tag" > mksap < /a > Tags: Conditions OB/GYN Source Type: blogs
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