Questions from health providers

4th generation progestins and thrombosis.

mimizieman

Jul 25, 20234 min read

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...

Should I prescibe COCs to patients with an aneurysm or high blood pressure?

mimizieman

Jul 25, 20234 min read

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...

Can I be reasonably certain this patient is not pregnant and place a LNG-IUD?

Hannah Blatt

Feb 24, 20233 min read

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, 20223 min read

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, 20222 min read

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...

Are there new contraceptive management guidelines for states that have abortion bans/restrictions?

mimizieman

Jul 21, 20222 min read

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...

Malpositioned IUD after post-placental insertion

mimizieman

Jun 10, 20223 min read

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...

The withdrawal method before QuickStart of an IUD or implant

mimizieman

May 30, 20224 min read

The withdrawal method before QuickStart of an IUD or implant

Is the withdrawal method considered a reliable method if used consistently and correctly?

How common is delayed menses after taking Plan B?

mimizieman

May 22, 20223 min read

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...

How long is the Copper IUD effective for? 10 or 12 years?

mimizieman

Mar 9, 20223 min read

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..."

Is there a downside to taking additional progestin when on birth control pills?

mimizieman

Feb 22, 20222 min read

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...

Is significant weight gain a reason to stop DMPA (Depo)?

mimizieman

Jan 28, 20223 min read

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, 20232 min read

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, 20233 min read

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, 20232 min read

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, 20223 min read

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, 20223 min read

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, 20222 min read

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, 20223 min read

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, 20223 min read

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, 20211 min read

Vaginal Odor?

You think your vagina smells bad? Is it really the case? If so, how do you fix it?

Sep 24, 20212 min read

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, 20211 min read

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, 20212 min read

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, 20211 min read

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?

writer | obgyn

a contraceptive question