QUESTION What are the patient education points that you must discuss with the patient when prescribing Depo-Provera injections (eg side effects)?
According to this chart, what contraceptives can be used in patients over 35 who smoke?
https://www.cdc.govireproductivehealth/contraception/pdf/summary-chart-us-medical-eligibility-criteria_508tagged.pdfLinks to an external site.
What are your treatment goals for Claudia today? What are two possible contraceptive methods for Claudia? Please give a brief rationale for each. Pick one method and list five (5) patient-centered teaching points for the method you chose today. What would your contraceptive choice be if Claudia smoked 10-15 cigarettes per day? Explain your answer.
The treatment goals for Claudia involves identifying a contraceptive method that does not involve sterilization and one which would be reliable considering that she is active. Since Claudia does not prefer implants or condoms, oral contraceptive pills and contraceptive injections would be effective. The contraceptive pills require to be taken every day, and they contain the hormone progestin and estrogen, which are released into the bloodstream (Queensland Government, n.d).
On the other hand, the injections are effective because once injected, they have a shelf life of three months as they contain hormone progesterone, which hinders pregnancies (Queensland Government, n.d). Notably, both contraception methods are effective in that they do not interrupt sex and they allow spontaneity. A contraceptive that contains progesterone has been found to be affected by smoking because they alter with the levels of progesterone and estradiol (Allen, Weinberger, Wetherill, Howe, & McKee, 2017). Consequently, reverting to condoms would be the only suitable method as it only prevents fertilization and it does interrupt coitus.