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 Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Conditions OB/GYN Source Type: blogs