By vgreene, 1 June, 2017 Counsel about potential changes in bleeding patterns 4 nbsp nbsp Spotting light bleeding common certain users experience amenorrhea Generally not harmful and may or may not darr w continued use however heavy bleeding uncommon nbsp nbsp If spotting light b
By vgreene, 1 June, 2017 If pt healthy no exams tests required before initiation 5 nbsp nbsp Pts w known medical conditions may need additional exams tests to determine if candidate for this method 4
By vgreene, 1 June, 2017 If pregnancy possible consider starting anytime and obtain pregnancy test in 2 4wk 5
By vgreene, 1 June, 2017 Place anytime if reasonable certainty pt is not pregnant4 i e has no pregnancy s sx and meets any one of the following criteria 5 nbsp nbsp 7 days after start of normal menses nbsp nbsp No sexual intercourse since start of last normal menses nbsp nbsp Cor
By vgreene, 1 June, 2017 Review exceptions contraindications to category 1 Category may vary if initiating vs continuing this method 1
By vgreene, 1 June, 2017 Med exceptions: efavirenz, nelfinavir, fosamprenavir, or any ritonavir-boosted protease inhibitor (except lopinavir) [2], anticonvulsants7 [2]; rifampin/rifabutin [2], St John’s wort [2]
By vgreene, 1 June, 2017 CV current hx IHD continuing due to theoretical effect on lipids2 3 stroke continuing 3
