sickle cell - kj72patel

[ArchivalUser]

22 yr old AA femla with sicke cell dz, come to your office for a routine eval and advice on contraception . She is sexually active wiht one partner and states "we sometimes forget to use condoms during the ummm time" You have know this patient for several yes. She has been non compliant with her treatment. She has minor stroke two years ago, which resolved wihtout any significant residual neurological deficits.
Which of the follwing options for contraception is the preferred for this pt?

A. IUD
b. Progestrone only mini pill
C. Depoprovera (depot medroxyporgestrone acetate)
d. Cont use barrie contraception
E. Combined OCP

[ArchivalUser]

can she use combined ocp?

[ArchivalUser]

Depo is the Ans

[ArchivalUser]

may be because its the one that prevents pregnancy the most and has no risk of posing infection like IUDs?

[ArchivalUser]

because she is not compliant, use depo.

[ArchivalUser]

C

[ArchivalUser]

C//

[ArchivalUser]

depot agree

[ArchivalUser]

Its Depo

[ArchivalUser]

but even if she has had stroke and so is high risk ?