NGR 6172 Miami Dade College Wk 13 Contraception Regimen Discussion

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NGR 6172

Miami Dade College

NGR

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Week 13 Discussion: Contraception

J.L., a 27-year-old account executive, presents to the family medicine office for her annual checkup with her primary care provider. She has no significant past medical history except heavy menses. Her medications include calcium carbonate 500 mg orally twice a day and a multivitamin daily. She exercises regularly. Her family history is significant for cardiovascular disease (her father had an MI at age 54 and died of a further MI at age 63). She notes that she has been dating her current partner for approximately 5 months. She is interested in a reliable form of contraception. After discussing the various contraceptive options, she is here for contraceptive counseling.

Questions:

1. Before prescribing an OCP regimen, what tests or examinations would you like to perform?

2. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.

3. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.

Provide 3 Postings (Initial Posting and Respond to 2 Peer Based on APA Guidelines). Respond in complete sentences, 2-3 paragraphs. Work must be supported by peer-reviewed article published within 5 years.

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Before prescribing the patent with the OCP regimen, there are various tests that one would like to perform. The first test or examination that can be performed is the Pap test. The Pap test's purpose is to try and detect any presence of cancerous cells in the cervix. Another test is the Pelvic exam done to determine the sexual and reproductive health of the patient. During the pelvic examination test, the doctor will check the patient's vagina, vulva, uterus, ovaries, and cervix and determine if their sexual and reproductive health is in a good state (Dutton et al., 2019). One of the contraceptive regimes that could be chosen for J.L is implant or IUDs. Such is because implants and IUDs are the safest forms of birth control measures. The second contraceptive to choose for J.L is the use of condoms. Condoms can protect J.L from unplanned pregnancies and other sexual-related risks such as STIs. Also, birth control pills would be recommendable to J.L because she would use them when she had unsafe sex and was at risk of getting pregnant (KoppKallner, 2018). Using the implants as the birth control method, she should expect side effects such as back pain, changes in vaginal bleeding patterns, depression, mood swings, and headaches. She should seek medical help when she is faced with the likelihood of developing noncancerous ovarian cysts. Using the birth control pills, she will experience side effects such as nausea, spotting, weight gain, missed periods, decreased libido, and breast tenderness (Thobani et al., 2019). References Dutton, C., Roe, A. H., & Bartz, D. (2019). Contraception in Neurologic and psychiatric disorders. Neurology and Psychiatry of Women, 27-36. https://doi.org/10.1007/978-3-030-04245-5_4 Kopp-Kallner, H. (2018). Faculty opinions recommendation of contemporary hormonal contraception and the risk of breast cancer. Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature. https://doi.org/10.3410/f.732234316.793547610 Thobani, R., Jessani, S., Azam, I., Reza, S., Sami, N., Rozi, S., Abrejo, F., & Saleem, S. (2019). Factors associated with the discontinuation of modern methods of contraception in the low income areas of sukh initiative Karachi: A community-based case control study. PLOS ONE, 14(7), e0218952. https://doi.org/10.1371/journal.pone.0218952
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Running Head: WEEK 13 DISCUSSION: CONTRACEPTION

Week 13 Discussion: Contraception
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Institution

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WEEK 13 DISCUSSION: CONTRACEPTION

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Week 13 Discussion: Contraception

Oral contraceptive pills increase the risk of developing cardiovascular diseases. For J.L.,
she has a positive family history of cardiovascular disease. Necessary tests include blood
pressure and pregnancy screening. World health organization recommends that it is desirable
before initiation OCP regimen to take blood pressure measurements.
For J.L, due to her history of heavy menses, the appropriate contraception would be
combined oral contraceptive pills, the combined contraceptive patch, or combined injectable
contraceptives (Lethaby et al., 2019). These contraception types contain two hormones: estrogen
and progesterone. Combined oral contraceptive pills are a type of contraception taken orally. The
regimen is a 21-day or 24-day whereby pills are taken for days, then a seven-day break during
which menstruation occurs. The contraceptive pa...

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