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Intrauterine contraceptives: What should be considered before prescribing?

A 32-year-old female is requesting contraception. She had an unremarkable pregnancy and spontaneous vaginal delivery one month ago and is currently breastfeeding. She is not planning to have a second child for a few years. Approximately five years ago she had an incidence of pelvic inflammatory disease with no recent recurrence. Swabs reveal no current pelvic infection.

What additional patient needs should be considered before prescribing?

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Quiz: What form of contraception is right for this patient?

A 19-year-old female presents with a history of poor adherence to a combined oral contraceptive pill over the past year. She is sexually active and does not currently plan on having children. She has no history of pelvic infections. Uterus size and shape is normal, and no tenderness is present. An STI screen is negative. Complete blood count is normal.

Which of the following contraceptive methods are most consistent with this patient’s needs?

A. Progestin injection

B. Progestin-only pill

C. Levonorgestrel intrauterine device (LNG IUD)

D. Tubal ligation

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