hormonal%20contraception
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 and ease of administration. It is the widely used method of reversible contraception.
It does not protect against STIs/HIV.

Hormonal%20contraception Diagnosis

History

  • Prior to prescribing a hormonal contraceptive, a thorough history should be taken:
    • Present and past medical history (eg cardiovascular risk factors, allergies, migraine, 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 test for hemoglobin when considering use of intrauterine devices (IUDs)
  • May consider lipid profile, but this is more important for preventive medicine
Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
01 Dec 2020
Tetanus toxoid 5 Lf, diphtheria toxoid 2 Lf, pertussis toxoid 2.5 mcg, filamentous haemagglutinin 5 mcg, fimbriae types 2 and 3 5 mcg, pertactin 3 mcg
Dr. Hsu Li Yang, Dr. Tan Thuan Tong, Dr. Andrea Kwa, 08 Jan 2021
Antimicrobial resistance has become increasingly dire as the rapid emergence of drug resistance, especially gram-negative pathogens, has outpaced the development of new antibiotics. At a recent virtual symposium, Dr Hsu Li Yang, Vice Dean (Global Health) and Programme Leader (Infectious Diseases), NUS Saw Swee Hock School of Public Health, presented epidemiological data on multidrug-resistant (MDR) gram-negative bacteria (GNB) in Asia, while Dr Tan Thuan Tong, Head and Senior Consultant, Department of Infectious Diseases, Singapore General Hospital (SGH), focused on the role of ceftazidime-avibactam in MDR GNB infections. Dr Andrea Kwa, Assistant Director of Research, Department of Pharmacy, SGH, joined the panel in an interactive fireside chat, to discuss challenges, practical considerations, and solutions in MDR gram-negative infections. This Pfizer-sponsored symposium was chaired by Dr Ng Shin Yi, Head and Senior Consultant of Surgical Intensive Care, SGH.
Jairia Dela Cruz, 4 days ago
Spending too much time sitting cannot be good for the body, and rising to one's feet breaks up such a behaviour and yields small, but meaningful, reductions in certain cardiovascular disease (CVD) risk factors, according to the results of a meta-analysis.
4 days ago
Use of thyroid hormone therapy does not seem to protect older adults with subclinical hypothyroidism against mortality, but it appears to confer survival benefits to those aged <65 years, results of a study have shown.