Internal Medicine

0521779407-C03 CUNY1086/Karliner 0 521 77940 7 June 4, 2007 20:54

Contact Dermatitis Contraception for the Internist 399

follow-up

n/a

complications and prognosis

n/a

Contraception for the Internist..........................

MAXINE H. DORIN, MD

REVISED BY FREDRIC B. KRAEMER, MD;

ANDREW R. HOFFMAN, MD; and THOMAS F. McELARTH, MD, PhD

history & physical

■Age, last menstrual period, menstrual pattern, birth control method

(past/present), number of pregnancies and outcome

■History of STDs, PID, infertility

■Diabetes, hypertension, thromboembolic events, liver and renal dis-

ease, migraines, seizure disorder

■Surgical history, esp. abdominal pelvic surgery

■Smoking history

■Total number of sexual partners, current sexual partner(s)

➣History of depression

➣History of poor tolerance of progestational agents

tests

■Pap smear

■Consider Gonococcus and Chlamydia cultures, syphilis and HIV tests

■Consider fasting lipid profile and LFT

differential diagnosis

n/a

management

What to Do First

■Review yearly health maintenance program

■Discussion of various contraception options, including risk, benefits,

failure/success rates of each method

General Measures

■Assess risk factors

specific therapy

■Oral contraceptives (OC):