Manage episode 292000521 series 2851469
Today we’ll be covering Abnormal Uterine Bleeding (AUB), going along with this month’s theme, Adolescent Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.
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A 17 year-old female with a history of migraines with aura presents for a follow up appointment after completing treatment to abate menstrual bleeding that was ongoing for 3 weeks. She has a history of heavy periods that typically last at least 1 week, during which she has to change her tampon every 2-3 hours. She has no known underlying bleeding disorder. She would like to start a long-term medication that has the ability to manage her heavy menstrual bleeding and prevent pregnancy. She has never used any method of contraception before and has never been pregnant. Which of the following is the most effective and appropriate method of contraception for this patient?
- Copper intrauterine device
- Progesterone-containing intrauterine device
- Combined estrogen/progesterone vaginal ring
- Combined estrogen/progesterone pill
- Regular condom use
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