Questions and Answers
Can I be reasonably certain this patient is not pregnant and place a LNG-IUD?
Question: Client presents to clinic for LNG IUD. Client has used condoms 100% in the last two weeks and has a negative urine pregnancy test (ucg) on day of visit. Would you insert a LNG IUD? She has no symptoms of pregnancy and has used condoms 100% x 2 weeks. Going...
I missed some pills and my period is late.
Question: I’ve been on my birth control pills for 6 months. Taken every night at 9pm. I missed my birth control for 2 days 3 weeks ago but I caught back up. Ever since then we have used a condom just to be safe. I am currently 5 days late? I am very nervous. What...
What’s the scoop with Phexxi?
Question: I am a Nurse Practitioner at Student Health. One of our physicians sent an article about Phexxi, a contraceptive option to use in conjunction with condoms if a patient did not want to use any standard birth control options. What are your thoughts about this?...
Hair Loss with Nexplanon
Question: “I have a patient that is complaining of hair loss after having Nexplanon placed. Is that common and if so, is there any treatment for it?” Answer: Dear Doctor H., Hair growth / loss is affected by hormones, especially progestins, so it may be a...
Are there new contraceptive management guidelines for states that have abortion bans/restrictions?
Question: Have any of the leaders in this field set forth any guidance re: providing care in restrictive states that could be deemed “providing abortions” (even though definitely not) - for ex removing an IUD following a +PT? placing an IUD more than 7...
Postmenopausal Bleeding
Question: "I am 45 years old recently menopausal based on no periods for 18 months and confirmation by labs. I recently was having pelvic pressure and went to my ob/gyn. He ordered a transvaginal ultrasound that showed thickened endometrium (15) which he said needed...
Vaginal Odor?
Question: I honestly think my vagina smells horrible all the time and I don't know if its in my head....... how do i go about fixing this? – Anonymous, 22 Answer: Dear Anonymous: The most common reason for odor is a condition called bacterial vaginosis (BV)...
Lost Birth Control Pill?
Question: I lost one of my birth control pills so I took the next days in the pack. Is that okay? What should I do if this happens. I don't want to get pregnant. – Anonymous Mouse Answer: Dear Anonymous Mouse, Yes—you can just continue with the other...
Yeast Cream and Vaginal Ring
Question: When my doctor gave me the vaginal ring for birth control, she said something about not using yeast cream. I think I have a yeast infection. Is it okay to buy a yeast cream? – Anne Answer: Dear Anne: You remembered correctly! There are two types of...
Is the morning after pill an abortion?
Question: The condom broke last night and I would like to take the morning after pill, but I heard it causes abortion. I’m not sure what to do. –Concerned Answer: Dear Concerned: Taking the morning after pill does not cause an abortion. The morning after...