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Contraception in women with medical conditions.(THE EFFECTIVE PHYSICIAN)

Internal Medicine News

| November 01, 2006 | Golden, William E.; Hopkins, Robert H. | COPYRIGHT 2008 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Background

Hormonal contraception products are used by women with a range of ages and degrees of health status. Internists often manage comorbid conditions in patients who use these preparations. The American College of Obstetricians and Gynecologists recently released a practice bulletin to provide guidance based on current evidence regarding hormonal contraception in women with medical conditions.

Conclusions

Oral contraceptives are considered safe in nonsmoking women over age 35 without comorbid conditions, but their role in thromboembolism increases substantially after age 39. In women over age 50, combination contraceptives may have risk effects similar to hormonal therapy for breast cancer.

Nonhormonal methods, such as the copper intrauterine device (IUD), remain safe and effective…

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