q..... - ar12

[ArchivalUser]

a 29 year women ,gravida 1 ,para 0 with sickle cell disease comes to the office for contraception councelling .she and her husbend are not planning on having children until they finish graduate school.she had previously taken OCP but had difficulty remembering to take the pill everyday .she has a history of pain crisis generally once a year during summer.which of the following is the most appropriate action for this patient
A.barrier contraception
B.copper IUD
C.DMPA
D.estrogen/progesteron vaginal ring
E.progestin releasing IUD

[ArchivalUser]

BBB? antaje dilam . valo aso?

[ArchivalUser]

Bb, can't do any hormones because of her SSD. You an dive IUD even that she never had kids, it is totally fine

[ArchivalUser]

can give*

[ArchivalUser]

answer EE
progesteron only methods are the first line for women with sickle cell disease as they lower thromboembolic risk compared to estrogen containing methods and generally do not worsen anemia.the progesteron releasing IUD is the best choice as it gradually decreases monthly blood loss.