Several patients present to a women's health clinic requesting initiation of a highly effective, reversible contraceptive method. Review their clinical histories and match each patient with the single most appropriate contraceptive option based on the Medical Eligibility Criteria and the patient's specific requests.
- A 36-year-old woman with a history of estrogen-receptor positive breast cancer treated 3 years ago, currently in remission.Copper T380A intrauterine device
- A 27-year-old woman experiencing heavy menstrual bleeding and severe dysmenorrhea, with a structurally normal uterus on ultrasound.Levonorgestrel-releasing intrauterine device
- A 24-year-old woman with newly diagnosed, untreated chlamydial cervicitis requesting an immediate, non-invasive, self-administered method.Combined oral contraceptive pills
- A 38-year-old woman who smokes a pack of cigarettes daily and has chronic hypertension, requesting a long-acting method that does not require pelvic examinations.Subdermal etonogestrel implant
Cevap
Match the breast cancer patient to the Copper IUD; the patient with heavy menses to the Levonorgestrel IUD; the patient with active cervicitis to Combined oral contraceptives; and the 38-year-old hypertensive smoker to the Subdermal etonogestrel implant.
Each clinical presentation contains specific medical or historical factors that dictate safety according to the CDC/WHO Medical Eligibility Criteria (MEC). The selections made represent the safest, most effective options aligned with each patient's constraints.
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Anahtar Kavram
Medical Eligibility Criteria (MEC) for Contraceptive Use
Tahmini Süre:1m 30s