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Question
BP a 25-year-old female presents to the clinic seeking birth control. She states that she is in a new monogamous relationship and would like to prevent pregnancy. Her new boyfriend is averse to condoms because they don't "feel right". Prior to this she has been using condoms with a few casual partners. She notes that she tried "the pill" when she was 16 but could not remember to take it. At 18 she had 1 Depo Provera injection, but she gained 20 lbs and does not want to use that ever again. PMH: healthy, recurrent migraines with an aura, hx of childhood asthma, no longer needs inhalers. Surgical Hx: none Reproductive Hx: Menarche at age 11, Never been pregnant, had Chlamydia once at age 17, sexually active with male partners, participates in oral and vaginal penetration. Allergies: NKDA Current medications: Imitrex PRN for migraine
Questions
1. What birth control options would you present to BP today? List the pros and cons of each.
2. Is there any testing that you would need to do prior to starting birth control for BP today?
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