Birth control resident survival guide
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Birth Control Options
- Permanent Sterilization
- IUD
- Contraceptive Implant
- Contraceptive Injection
- Oral contraceptive bills (OCPs)
- Birth Control Patch
- Barrier Methods
- Vaginal Ring
- Diaphragm and Cervical Cap
- Male Condom
- Female Condom
- Withdrawal
- Sponge
- Natural Family Planning and Fertility Awareness
- Lactational Amenorrhea Method (LAM)
- Spermicide
- Abstinence
- Emergency Contraception
Indications
- Pregnancy prevention
- Treatment of different conditions such as:
- Polycystic Ovary Syndrome (PCOS)
- Endometriosis
- Amenorrhea
- Dysmenorrhea
- Premenstrual Syndrome (PMS)
- Primary Ovarian Insufficiency (POI)
- Heavy Menstrual Periods
- Acne
Contraindications
OCP
Absolute contraindications
- Less than 6 wks postpartum
- Smoking (age > 35, and >15 cigarettes per day)
- Hypertension (systolic > 160mmHg or diastolic > 100mmHg)
- Venous thromboembolism (VTE) (current of past history)
- Ischemic heart disease
- Cerebrovascular accident history
- Complicated valvular heart disease (pulmonary hypertension, atrial fibrillation, history of subacute bacterial endocarditis)
- Migraine headache with focal neurological symptoms
- Breast cancer (current)
- Diabetes with retinopathy/nephropathy/neuropathy
- Severe cirrhosis
- Liver tumor (adenoma or hepatoma)
Relative contraindications
- Smoker over the age of 35 (< 15 cigarettes per day)
- Adequately controlled hypertension
- Hypertension (systolic 140 - 159mmHg or diastolic 90 - 99mmHg)
- Migrain headache over the age of 35
- Currently symptomatic gallbladder disease
- Mild cirrhosis
- History of combined OCP-related cholestasis
Medications that interfere with OCPs:
Do's
- Increase the levothyroxine dose in patients with hypothyroidism who started taking OCPs. OCPs (estrogen) increases the liver synthesis of thyroxin-binding globulin (TBG)
Don'ts
- The content in this section is in bullet points.