Managing Contraception Questions and Answers

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Contraception

CONTRACEPTION: TIMING, CHOOSING A METHOD, ABSTINENCE, POSTPARTUM, BREAST-FEEDING

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There were 204 questions found in this category:

How can hormonal contraceptives improve a woman's future fertility? #803/10
It sounds to me as though hormonal contraceptives protect a woman’s ability to become pregnant in the future. Is this possible? You have it right! If one looks at hormonal contraceptives as a group, they may have some very desirable effects on a woman’s future ability to become ...
My patient has a history of migraines, endometriosis with abdominal pain, and very heavy menses. What method of contraception would you suggest? #725/10
I am a public health nurse practitioner. I have a 24 year-old patient (with one child) who is doing very well on LoOvral. She has a history of endometriosis with abdominal pain, very heavy menses and cramping well controlled on LoOvral. She has a history of occasional migraines and recently had ...
My patient was diagnosed with epilepsy and is concerned about long menses. What contraceptive options does she have? #723/10
I saw a patient in the clinic yesterday and she was recently diagnosed with epilepsy (3 months ago). Currently she is on Topamax and is concerned about birth control options to manage her long menses (7-9 days). She is not sexually active and she tried the Ortho Evra patch and bled for 3 week ...
I passed the biggest chunk of blood I have ever seen! #801/10
Hi Dr. Hatcher, Here's another question for you! I started on NuvaRing earlier this month. This is my first experience with hormonal birth control. I put the ring while I was ovulating and I had it in for 3 weeks with absolutely no problems (so easy to deal with)! I love it! On day 21 of the r ...
My NuvaRing was out for about 7 hours during and after intercourse. Was I protected? #540/10
I took my NuvaRing out when I had sex with my husband last night. I fell asleep without putting it in and I woke up about 7 hours later, I remembered and put it in right away. I know I need to have a backup form of birth control for the next week, but can I get pregnant from sex the day bef ...
I would like to use my NuvaRing continuously. Is there any reason or need to have a withdrawal bleed every few months? #703/10
Hello! I have just started on the NuvaRing and would like to use it continuously (replacing it every 3 weeks). Is it safe to do this indefinitely? Is there any need or reason to have a withdrawal bleed every few months? There is no medical reason for a woman to have a monthly withdraw ...
Is NuvaRing less effective for women who weigh more than 198 pounds? #538/10
I have some materials which say that NvaRng is less effective for patients above 198 pounds, but can't find this in the product information A particular client has limited other options and weighs 235. Any ideas? If in doubt, she can use NuvaRing but use condoms as a backup contraceptive. Sh ...
Is family planning safe pror to a woman's first pregnancy? #431/10
Is it dangerous to undergo any family planning, such as birth control pills, before being pregnant? Please help! Family planning definitely is safe prior to a woman’s first pregnancy. Hence, virtually all contraceptive programs work hard to get excellent contraceptives that are full ...
Taking concetraceptive
Is it dangerous to undergo any family planning before having your first pregnancy? Pleae help! Family planning is safe prior to a woman’s first pregnancy. Hence, virtually all contraceptive programs work hard to get excellent contraceptives that are fully reversible to couples who want ...
What contraceptive would you recommend for a woman who was taken off combined pills due to a blood clot? #319/10
I’m 21 and was just diagnosed with a DVT (deep vein thrombosis) in my right leg. All the tests were negative for thrombophilla, so the doctors say the cause was most likely my combined pills, as I am very fit and healthy for my age. I'm not allowed to take the combined pill ever again. ...
I cannot remember to take pills, have been treated for pelvic inflammatory infection, and have pain during menstrual cycles; could I use an IUD or what contraceptive? #408/10
I am considering geting an IUD as I am really bad at rememebering to take the pill. I recently had to be treated for a pelvic infection and I sometimes still get a bit of pain in my uterus area when I menstrate. Some people have told me not to as it isn't as safe as the pill and that it can caus ...
Could I have ovulated a second time due to a 3-day delay in inserting my NuvaRing? #401/10
My last period was March 23-27, 2010. I had intercourse with my husband on March 28. Then I was late putting my NuvaRing in by three days (I put it in on March 31, it was due to go in on March 28). My concern is; could I have ovulated a second time after my period, due to the missed nuva ring? I ...
My patient is homozygous MTHFR, 4 months postpartum; should she return to the NuvaRing or pills as she wishes? #323/10
A patient of mine is homozygous MTHFR and had a series of miscarriages. She is now 4 months postpartum following a normal pregnancy birth. She would like to return to the NuvaRing or oral contraceptive pills at 6 months. Is this contraindicated with MTHFR? I forgot to add that she is homoc ...
Topamax for migraines, ParaGard caused long periods; now considering Mirena IUD or the NuvaRing. Please help! #143/10
I am a migraine sufferer currently on 200mg of Topamax/day. To reduce the occurance of my migraines, I got the Paragard IUD. I am experiencing extremely long periods, however (up to 6 weeks). My doctor's only response is to put me on hormones (progesterone) to stop the bleeding but it instantly ...
Do I follow my NuvaRing schedule or wait until my period is over? #301/10
I've been using the Nuvaring for about 6 months now. I had unprotected sex at 11 AM the day I was supposed to take it out. I took it out at 4:45 PM the same day (my scheduled ringtime out). Do I need to take an emergency contraceptive pills because it was the same day taken out? But I did have t ...
I removed my NuvaRing too early, had unprotected sex during that time and am also taking an antibiotic. What are my chances of being pregnant? #230/10
Hello, I'm a 22 year old with one daughter. I was on the Mirena IUD for 3 years after the birth of my daughter. I was uncomfortable not gettin my period, so I switched a few months ago to the Nuvaring. This past month I accidently took the ring out on a Monday instead of a Wednesday (the day I w ...
What birth control method would you recommend for a patient with Factor V Leiden who is on Coumadin? #205/10
What are the recommendations for birth control for a patient with Factor V Leiden? She is on Coumadin and experiencing heavy menses intermittently. 1. Women with a known thrombogenic mutation such as Factor V Leiden, receive a 4 for the use of a contraceptive with estrogen and a 2 for al ...
We realized my girlfriend’s NuvaRing had been out for about 3 hours after sex. Is she still protected? #130/10
My girlfriend put a new NuvaRing back in on the 6th of January. We had sex 10 days later, on the 16th (actually after midnight on the 17th). The next morning around 8:00 AM we realized the NuvaRing had fallen out, so she put it back in. Luckily, I wear condoms and pull out just to play it saf ...
Is it safe to use Plan B as a backup if I have the Ortho Evra patch? #128/10
I have a question. I just got back on the Ortho Evra patch after a year, and I want to know if it is safe to use Plan B as a backup. I had intercourse and I want to be safe and don't want to get pregnant. Sure it is safe to use Plan B in addition to the patch, but it really is not necess ...
Am I at risk for pregnancy since I forgot to remove my NuvaRing on schedule? #122/10
I was using the NuvaRing and the last time I had my period was a week or so before Christmas. It came late because I had forgotten to remove the NuvaRing at the beginning of the week. I had sex with my boyfriend on December 26th. That was the last time I had sex. My breasts are very tender and h ...

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