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HORMONAL CONTRACEPTION
Contraceptive methods are used to prevent pregnancy and sexually transmitted infections (STIs).
Contraception allows women/couples to explore plan on childbearing and family planning.
Hormonal contraception is a method with high rate of effectiveness & ease of administration. It is the widely used method of reversible contraception.
It does not protect against STIs/HIV.

History

  • Prior to prescribing a hormonal contraceptive, a thorough history should be taken:
    • Present and past medical history (eg cardiovascular risk factors, allergies, presence of comorbidities)
    • Personal history (eg smoking history, sexual history)
    • Current medications
    • Review potential contraindications (please see subsequent discussion on each hormonal contraceptive for details)

Physical Examination

  • Blood pressure (BP) and body weight
  • Breast exam
  • Abdominal exam
  • Pelvic/genital exam
    • Preferably with cervical cytologic screening
    • Important aspect of preventive medicine but is not mandatory and may be postponed until follow-up visit

Laboratory Tests

  • Not indicated, unless the woman has a family history of diabetes mellitus (DM) or vascular disease or a history of a sexually transmitted infection (STI)
  • May consider lipid profile, but this is more important for preventive medicine
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Tristan Manalac, 06 Oct 2017
In women with polycystic ovary syndrome (PCOS), combined oral contraceptive (COC) with spironolactone is more effective than metformin in reducing symptoms while showing a similar safety profile, according to a new randomized clinical trial (RCT).