03-26-2008, 10:05 PM
A 38-year-old woman comes to your office for an annual examination. She states that she has been feeling good over the past year. She exercises three times a week and watches her diet. She smokes cigaretts 1 pack/day since she was 20 years old.She has no medical problems. She had an appendectomy at the age of 25, and no other surgeries. She uses a 35 μg combined oral contraceptive pill (OCP) daily, and takes no other medications. She has been on œthe pill for birth control for the past 10 years and is happy with it. She has no known drug allergies. Physical examination, including breast and pelvic exams, is normal. She wants to know if she can continue to take the oral contraceptive pill. Which of the following is the most appropriate advice to give her?
A. Change from the combined OCP to hormone replacement therapy (HRT) now
B. Change to HRT plus aspirin now
C. Continue on the OCP
D. Stop the OCP immediately
E. Stop the OCP gradually over the next 3 years
A. Change from the combined OCP to hormone replacement therapy (HRT) now
B. Change to HRT plus aspirin now
C. Continue on the OCP
D. Stop the OCP immediately
E. Stop the OCP gradually over the next 3 years