By vgreene, 1 June, 2017 Consider depot medroxyprogesterone acetate. Effectiveness 94%. Category: if 18-45 yo [1]; if 45 yo [2]; w/ exceptions:
By vgreene, 1 June, 2017 GI/Endocrine exceptions: DM (per status10), IBD [2], gallbladder dz [2], past COC-related cholestasis [2], severe cirrhosis [3], liver tumors (per status11)
By vgreene, 1 June, 2017 Immune exceptions: SLE (per status8), RA (per status9), solid organ txp [2], multiple sclerosis [2]
By vgreene, 1 June, 2017 Heme/Onc exceptions: cervical CA awaiting tx [2], breast CA (per status3), undiagnosed breast mass [2], thrombogenic mutations4 [2], SLE w/ severe thrombocytopenia5 [3]
By vgreene, 1 June, 2017 Gyn exceptions: unexplained vag bleeding [3], irregular bleeding [2] heavy/prolonged bleeding [2], CIN [2]
By vgreene, 1 June, 2017 Assess for appropriateness of progestin-only or CHCs. Consider risk for adverse health events d/t pregnancy.1 Counsel that male latex-condom2 use ↓ HIV & STD risk
By vgreene, 1 June, 2017 Consider implant progestin Effectiveness 99 9 2 Category 1 1 Generally safe low risk w the following exceptions category may vary if initiating vs continuing this method 3
