Category: Miscellaneous | Page 2 | Managing Contraception

Is significant weight gain a reason to stop DMPA (Depo)?

Question: “Is there a specific amount of weight gain in a client that would be unacceptable to continuing DMPA if that is her method of choice? We have tried other options and she wants to use DMPA despite a significant amount of weight gain. Thank you.”...

Birth control pill and breastfeeding

Ask Dr. Z, Miscellaneous

QUESTION (submitted 1/09/2022): “When prescribing a birth control for a breastfeeding mom who is breastfeeding at least 4x day but who has experienced breakthrough bleeding, ie got a period, and now wants to start on an oral birth control (wants something easy...

Malpositioned IUD after post-placental insertion

Ask Dr. Z, Miscellaneous

Question: “D” had a Mirena IUD placed at the time of Cesarean section. At her 6-week visit, the strings could not be visualized; so, her provider ordered a pelvic US. The IUD is in utero at the level of the fundus but seems to be turned...

Abnormal gush of blood with an IUD in place

Ask Dr. Z, Miscellaneous

Question: Hi I’ve had a coil fitted for nearly 6 years and I’ve just lost a large amount of jelly like brown discharge. Is this normal Answer: The term coil is used outside the US to refer to a copper IUD, so I will answer the question assuming this is...

The withdrawal method before QuickStart of an IUD or implant

Ask Dr. Z, Miscellaneous

Question: Dr. Zieman, I am an NP with 8 years of family planning experience in a title X clinic in Oklahoma. Managing Contraception has been very influential in my practice. Due to current politics in my state, I believe initiating contraception via the QuickStart...

How common is delayed menses after taking Plan B?

Ask Dr. Z, Miscellaneous

Question: “I recently saw a 26 yr old female whose LMP was 3/13/22, she had unprotected sex 3/27/22 and took Plan B 3/28/22, experienced spotting 4/4/22 and has not had a regular menses since 3/13/22. Pregnancy test done 5/16/22 and negative. What is the...

Medical Updates from Dr. Z’s Newsletter

Ask Dr. Z, Miscellaneous, Newsletter

Surprising news about female sterilization Or “permanent contraception” (the new term): It was huge news in 1996 when a large study (CREST) was published and we learned that female sterilization, or having your tubes tied, failed much more often than we had thought....

How can fetal alcohol spectrum disorders be prevented? #403/15

Miscellaneous

Q: What are the facts on pregnancy and drinking? A: Below are new facts from ARHP as a resource for couseling patients about pregnancy and alcohol consumption. By clearly communicating the risks of drinking during pregnancy, you can...

Where do you stand on women’s rights? #404/15

Miscellaneous

Q: How did you become an ardent feminist? A: This is how I became an ardent feminist. For 15 years I have given lectures to different classes of students from Georgia Tech (several a year). Each class had 250 to 300 students. I told them...

“What you do in life thunders so loud that I can’t hear what you say.” #401/15

Miscellaneous

Q Why are actions so much more important than words? A: For family planning fellows, nurse practitioners, doctors, medical and nursing students… Ralph Waldo Emerson made a wise observation when he said “What you do in your life thunders so...

Can a woman have multiple orgasms? Is this possible? #307/15

Miscellaneous

Q Is it possible for a woman to come more than once during intercourse? A: The information below was provided by Dr. Erika Pluhar: “Yes, a woman is physiologically capable of more than one orgasm during sexual activity with a partner as well as...

After several years of taking birth control pills, my patient developed facial numbness. Should she stop the pills? #102/15

Miscellaneous

Q: My 39 year-old patient has taken Microgestin for several years. There is no significant medical history, no family history of strokes, etc., she is a non-smoker. Blood pressure, WNL developed 2-day history of facial numbness which resolved spontaneously. ...

How much should I be concerned about interactions of certain drugs with oral contraceptiives? #103/15

Miscellaneous

Q: I understand that modafanil/armodafanil interfere with oral contraception, which makes sense in terms of metabolism. However, I am puzzled regarding the caution for use with IUDs that emit hormones. How much should we be concerned about this interactions?...

Is significant weight gain a reason to stop DMPA (Depo)?

Birth control pill and breastfeeding

Malpositioned IUD after post-placental insertion

Abnormal gush of blood with an IUD in place

The withdrawal method before QuickStart of an IUD or implant

How common is delayed menses after taking Plan B?

How can fetal alcohol spectrum disorders be prevented? #403/15

Where do you stand on women’s rights? #404/15

“What you do in life thunders so loud that I can’t hear what you say.” #401/15

Can a woman have multiple orgasms? Is this possible? #307/15

After several years of taking birth control pills, my patient developed facial numbness. Should she stop the pills? #102/15

How much should I be concerned about interactions of certain drugs with oral contraceptiives? #103/15

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