Reference no: EM132924150

As primary care providers, it is our responsibility to understand the efficacy, safety, appropriateness of contraceptive methods for our patients. Given Karen's history of menorrhagia and dysmenorrhea, migraines, tobacco use, and family history, elevated blood pressure, and lack of desire to become pregnant, would recommend a contraceptive implant/intrauterine device (IUDs) or a tubal ligation/sterilization. The increased usage of intrauterine devices has contributed to decreased pregnancy rates in the United States. Evidence based practices have amplified the figure of women who are medically entitled for intrauterine devices and have permitted expedited access to the methods (Nelson & Massoudi, 2016). Presently, women can choose from three hormonal IUDs, the Mirena, Liletta, and the Skyla; or they can choose the only non-hormonal IUD, the Paragard (Nelson & Massoudi, 2016). In Karen's case, would advise that she utilize one of the hormonal IUD options. Additionally, if Karen chooses not to utilize a hormonal IUD, the next option she would be medically eligible for is a tubal ligation/sterilization. Nationally, more than 220 million couples chose sterilization as a desired form of contraception, as it has been proven to be safe and effective for those no longer desiring to reproduce (Sung & Abramovitz, 2021).

Question 1: Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.

Question 2: Are there any methods that you would not recommend for Karen? Why?