contraception

interest

OCP depo patch hormonal IUD copper IUD ring

current

none condom OCP depo patch hormonal IUD copper IUD ring

condom use

always frequent infrequent rare

partners

male female both

active partners

1 2 3 4 5

past year partners

1 2 3 4 5

previously used

none OCP depo patch IUD ring

comments

hx STIs

never

last STI screening

within 1 year

LMP

last week 2 weeks 3 weeks 4 weeks

estrogen CI

none yes
hx DVT/PE coagulopathy migraines with aura smoker >35yo HTN IHD breast/ovarian Ca DM with microvascular complications <6 weeks post-partum breastfeeding

progesterone CI

none yes
cirrhosis breast Ca within 5 years unexplained vaginal bleeding

IUD CI

none

exam

choice

OCP depo patch IUD ring

missed doses risks/side effects

comments

CONTRACEPTION:

Patient presented for visit regarding contraceptive counselling.
Expressed interest in:
Currently used contraception:
Condom use:
Sexually active with partners
Currently sexually active with partners
In past year, has been sexually active with partners
Previously used methods:

Hx of STIs:
Last STI screening:
LMP:
Reviewed estrogen contraindications:
Reviewed progesterone contraindications:
Reviewed IUD contraindications:

O/

A/P
Patient decided to proceed with: