4th generation progestins and thrombosis.
Question: What is the recent literature on 4th generation progestins . In my facility my medical director had been advising that if our...
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mimizieman
- Jul 25
- 4 min
Should I prescibe COCs to patients with an aneurysm or high blood pressure?
Question: A patient came with h/o cerebral aneurysm (stable) and h/o pre-eclampsia years ago. She wanted a RF on her coc's but I was not...
Hannah Blatt
- Feb 24
- 3 min
Can I be reasonably certain this patient is not pregnant and place a LNG-IUD?
Question: Client presents to clinic for LNG IUD. Client has used condoms 100% in the last two weeks and has a negative urine pregnancy...
mimizieman
- Oct 20, 2022
- 3 min
What's the scoop with Phexxi?
Question: I am a Nurse Practitioner at Student Health. One of our physicians sent an article about Phexxi, a contraceptive option to use...
mimizieman
- Sep 28, 2022
- 2 min
Hair Loss with Nexplanon
Question: “I have a patient that is complaining of hair loss after having Nexplanon placed. Is that common and if so, is there any...
mimizieman
- Jul 21, 2022
- 2 min
Are there new contraceptive management guidelines for states that have abortion bans/restrictions?
Question: Have any of the leaders in this field set forth any guidance re: providing care in restrictive states that could be deemed...
mimizieman
- Jun 10, 2022
- 3 min
Malpositioned IUD after post-placental insertion
Question: "D" had a Mirena IUD placed at the time of Cesarean section. At her 6-week visit, the strings could not be visualized; so, her...
mimizieman
- May 30, 2022
- 4 min
The withdrawal method before QuickStart of an IUD or implant
Is the withdrawal method considered a reliable method if used consistently and correctly?
mimizieman
- May 22, 2022
- 3 min
How common is delayed menses after taking Plan B?
Question: “I recently saw a 26 yr old female whose LMP was 3/13/22, she had unprotected sex 3/27/22 and took Plan B 3/28/22, experienced...
mimizieman
- Mar 9, 2022
- 3 min
How long is the Copper IUD effective for? 10 or 12 years?
"I have a patient that had a copper IUD placed and was advised that it was effective for 12 years instead of 10 years..."
mimizieman
- Feb 22, 2022
- 2 min
Is there a downside to taking additional progestin when on birth control pills?
Recently I saw a 44 yr. old new patient who is on combined oral contraceptives and also on norethindrone day 10 to 21 of her cycle...
mimizieman
- Jan 28, 2022
- 3 min
Is significant weight gain a reason to stop DMPA (Depo)?
"Is there a specific amount of weight gain in a client that would be unacceptable to continuing DMPA if that is her method of choice? We hav
- Jul 25
- 2 min
Mirena IUD and Menopause
Question: I'm 52 and am, according to my GP currently in menopause, following some blood tests. I have the Mirena in place, the current...
- Jul 25
- 3 min
I stopped Depo but still not able to get pregnant.
Question: I took depo after my son was born 2009 and stopped after I heard about the side effects in 2011. Till now I tired to conceive...
- Feb 19
- 2 min
I missed some pills and my period is late.
Question: I’ve been on my birth control pills for 6 months. Taken every night at 9pm. I missed my birth control for 2 days 3 weeks ago...
- Jun 15, 2022
- 3 min
Postmenopausal Bleeding
Question: "I am 45 years old recently menopausal based on no periods for 18 months and confirmation by labs. I recently was having pelvic...
- May 31, 2022
- 3 min
Abnormal gush of blood with an IUD in place
Question: Hi I’ve had a coil fitted for nearly 6 years and I’ve just lost a large amount of jelly like brown discharge. Is this normal...
- Feb 27, 2022
- 2 min
Vaginal “smegma?”
Is it normal for women to have "smegma" of sorts on their clitoris or the lips sometimes as a form of discharge?
- Feb 27, 2022
- 3 min
My vaginal discharge is “normal,” but bothers me.
I have discharge that is brownish. I have gotten it checked and doctors said it's normal and that I just have more discharge than others.
- Jan 11, 2022
- 3 min
Birth control pill and breastfeeding
Which birth control pill would I recommend for breastfeeding moms who want to keep their milk supplies up and avoid staining/spotting?
- Sep 24, 2021
- 1 min
Vaginal Odor?
You think your vagina smells bad? Is it really the case? If so, how do you fix it?
- Sep 24, 2021
- 2 min
Lost Birth Control Pill?
You lost one of your birth control pills and took the next one in the pack? Will it affect your cycle?
- Sep 18, 2021
- 1 min
Yeast Cream and Vaginal Ring
When my doctor gave me the vaginal ring for birth control, she said something about not using yeast cream. I think I have a yeast infection.
- Sep 18, 2021
- 2 min
Is the morning after pill an abortion?
The condom broke last night and I would like to take the morning after pill, but I heard it causes abortion. I’m not sure what to do.
- Sep 18, 2021
- 1 min
Taking a Break from The Pill
I’m 31 years old and I’ve been on the pill for 10 years. Should I go off to give my body a break?
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