Patients with a history of seizures taking seizure medications

OB/GYN

If a patient has seizures that are well controlled on carbamazepine (Tegretol). No other issues. Doesn’t want to get pregnant for the next several years. What is the best option for her? Answer: Mirena IUD. An effective option for women taking antiepileptic...

Contraception options for smokers ≥35 years of age

OB/GYN

“Cigarette smoking, increasing age, and exogenous estrogen, particularly at the supraphysiologic doses used in contraceptives, all increase risk for vascular events such as venous thromboembolism and stroke. The use of estrogen-containing contraception in smokers ≥35...

Definition of Primary Amenorrhea

OB/GYN

Primary amenorrhea is defined as having: No Menses, PLUS Being 13 years or older with no pubertal development (breast development, etc), OR Being 5 years after initial breast development, OR Being 15 years old with pubertal development (secondary sexual...

Oral Contraceptives – COPs & POP

OB/GYN, Pharmacy and Therapeutics

CHC=combined hormonal contraception (pill, patch, and, ring); COC=combined oral contraceptive; POP=progestin-only pill; EE=Ethinyl Estradiol Monophasic COCs 21/7 Regimen (21 days of combined progestin and estrogen + 7 days of placebo) -Microgestin 1/20 (ie....

Mimicking Pregnancy: The Way Hormonal Contraceptives Work

OB/GYN

“The birth control pill functions primarily by preventing ovulation. The pill elevates the body’s levels of progesterone, which mimics pregnancy. The body behaves as though it is pregnant, disrupting the normal menstrual cycle and the release of additional...

Adenomyosis

Clinic A/P, adults, Clinic A/P, Peds, OB/GYN

Adenomyosis presents with painful periods painful intercourse chronic pelvic pain heavy menstrual bleeding