Contraception for the Medically Challenging Patient

Women with chronic medical problems are at higher risk for complications during pregnancy and therefore, they are especially in need of appropriate preconception and contraception care. Furthermore, many women with chronic medical problems do not obtain adequate preconception and contraception care. Despite published guidelines by the Centers for Disease Control and Prevention, there is a substantial gap in medical practice regarding the use of contraception in women with co-existing medical problems.

Contraception for the Medically Challenging Patient fills the gap that currently exists in the knowledge of correct contraceptive prescribing practice and shows that inappropriate contraindications can easily become a barrier to effective contraception use among women. Chapters highlight obsolete views about appropriate candidates for contraception and address the complex contraceptive needs of today's medically challenging patients with HIV/AIDS, uterine fibroids or cardiac, neurologic or thyroid disease. The book gives attention to recommendations on the use of contraception in women with medical problems such as diabetes, obesity, epilepsy, and lupus, among others and provides comprehensive information regarding the effects that certain drugs may have on contraceptive hormone levels. While national guidelines do exist for contraceptive eligibility, this book discusses in more detail the evidence behind the guideline recommendations and the nuances that clinicians confront in daily practice.

Offers advice on how to meet the contraceptive needs of women with chronic medical problems such as endocrine, rheumatologic, gynecologic and gastrointestinal disorders, as well as psychological and neurological conditions Addresses common misconceptions and lack of knowledge of potentially at risk patients Provides guidance to physicians on how to correctly prescribe contraception for women using potentially teratogenic medications

Autorentext

Rebecca H. Allen, MD, MPH, Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Providence, RI, USA.

Carrie A. Cwiak, MD, MPH, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.

Inhalt

Patient Assessment and Counseling.- Contraceptive Management of Women with Cardiac Disease.- Contraception Use in Women with Hypertension.- Contraception and Diabetes.- Contraception for Women with Mental Health Conditions.- Contraception for Women Living with HIV.- Contraceptive Options for Women with Headache Disease.- Contraception for Women with Epilepsy.- Contraception for Women with a History of Solid Organ Transplantation.- Obesity and Bariatric Surgery.- Hematologic Abnormalities.- Thrombophilia and Thromboembolic Disease.- Gynecologic Conditions.- Oncocontraception.- Contraception for Women with Endocrine Abnormalities.- Bone Health and Hormonal Contraception.- Contraception for Women with Rheumatologic Disease.- Family Planning with Gastrointestinal Disorders.- Contraception in the Perimenopause.- Medication Interactions.