Family Planning Case Write Up Assignment Essay Paper

Subjective Data

Chief Complaint: “I’ve just met someone and would want to know what my alternatives are for contraception.”

History of presenting illness: A.N. is a 22-year-old girl who comes to the clinic seeking contraceptive counseling. She states that she and her boyfriend have just begun dating and that she wants to learn more about the many contraceptive options available to them before they begin participating in sexual activity. She claims that she has never used any kind of contraception in the past, and so has no idea which method would be best for her. She also states that she has previously engaged in sexual activity without using contraception, but that she is aware of the hazards and does not want to do so again. During this appointment, she says that she is not experiencing any additional medical issues. Family Planning Case Write Up Assignment Essay Paper

Medical history: diagnosed with asthma at age 6. Denies history of other medical issues.

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Surgical history: No surgical history

Gyn history: No pap history. Denies history of gynecological disorders or STIs. No past STI testing.

OB history: G0P0

Contraceptive history: Denies past history of contraceptive use

Menstrual history: Menarche age 12, cycle every 28 days x 6 days, heavy  flow. LMP 17/04/22

Sexual history: Heterosexual. Recently started dating. Currently not sexually active. Considering partaking in vaginal intercourse and oral activities.

Social history:  She is a Walden University student pursuing a degree in business administration. She works part-time at a local grocery store.  Lives with a friend  in a rented flat. Housing is decent, there are no safety issues, and the area is considered safe. Denies smoking or illicit drug use. Uses alcohol on a limited basis, averaging 2-3 drinks a week. She denies that he has experienced any undue stress at work or school.  She orders takeout most of the time. Cooks sometimes.   Denies persistent physical exercise. Friends and family constitute her support network. She claims she is secure in her relationships and that she does not have a history of abuse. Family Planning Case Write Up Assignment Essay Paper

Family history:

Maternal Grandmother: age 77, history of hypertension

Maternal Grandfather: deceased at age 81 from stroke, history of heart disease

Paternal Grandmother: age 74, history of hyperlipidemia

Paternal Grandfather: deceased at age 76 from prostate cancer

Mother: age 43, history of hypertension

Father: age 46, history of type 2 diabetes

Sister: age 16, in good health

Current medication:

Albuterol inhaler 90 mcg/puff

Immunization: her immunization schedule is up to date. The last influenza vaccine was three months ago.

Allergies: No known drug, food, or environmental allergies

 

Review of systems

General: Denies weight change, fatigue, fever, chills, night sweats, or weakness

HEENT: denies headache, head injury, dizziness, or vertigo. Denies vision problems, eye pain, itchiness or discharge. Denies earache, discharge, or tinnitus. Denies nasal discharge, sinus pain, or nosebleeds. Denies mouth pain or sore throat.

Neck: Denies swelling and pain

Breast: denies breast pain, lumps, and nipple discharge.

Cardiovascular: denies chest pain, palpitations, syncope, orthopnea, and paroxysmal nocturnal dyspnea.

Respiratory: denies chest pain, coughing, runny nose, difficulties in breathing, wheezing, and sputum production.

Gastrointestinal: denies abdominal pain, appetite loss, nausea, vomiting, reflux, heartburn, and constipation

Genitourinary: denies dysuria, hematuria, increased frequency of urination, urine incontinence, and lower back or flank pain. Family Planning Case Write Up Assignment Essay Paper

Musculoskeletal: Denies joint pain, stiffness, or swelling. Denies limitation of motion, muscle pain or cramps. Denies back pain or stiffness.

Psychiatric: denies low mood, irritability, insomnia, fatigue, hopelessness, hallucinations, delirium, anxiety, and suicidal thoughts.

Neurologic: denies headache, dizziness, changes in her gait and posture, resting tremors, body weakness, facial droop, tingling sensation, and numbness.

Endocrine: denies heat intolerance, excessive sweating, weight loss, excessive thirst, cracked skin, dry hair, and brittle nails.

Hematologic/lymphatic: denies history of anemia, easy bruising, spontaneous bleeding, and cold extremities.

Integumentary: Denies history of eczema, psoriasis, or hives. No rash or lesion.

Objective Data

VS: Temp: 36.9, BP- 123/72 HR-78, RR-16, O2 sat-98%, Height- 5’4” Weight-135 lbs.

General Appearance: oriented x4. In no acute distress.  Well-dressed, well nourished and well-developed.

HEENT: head is a-traumatic, normal-cephalic without masses, bruises, or lesions. The hair is clean with no scalp scales. The head is non-tender with no palpable mass. The eyes are in the right position with no discharge, tearing, crusting, peri-orbital edema, or redness. The retina is intact with no signs of bleeding and cataracts. The hearing function is intact for both high medium and low medium pitches. There is no accumulation of wax, redness, swelling, or discharge at the inner ear. The nose is round. The mucus membrane is pink and moist. There is no nose bleeding or nasal discharge. The mouth has no visible ulcers, oral candidiasis, and inflammation of the tongue. The gum is clean with a pink color, holding natural teeth. The neck is round with normal skin color. There is no visible mass. On palpation, the neck is soft and non-tender. Family Planning Case Write Up Assignment Essay Paper

Cardiovascular: the peripheral pulse is present at a normal volume, regular rate, and rhythm. There is no neck veins distension. The heart sounds S1 and S2 are present at the fifth intercostal space mid-clavicle line. There are no heaves, rubs, gallops, and murmurs heard o palpation. There is no bilateral lower limb edema.

Breast: normal pigmentation, size, and shape. The areolar is dark with averted nipples. The axillary lymph nodes are not palpable. There is no tenderness and no mass upon palpation.

Respiratory: the chest walk expansion is symmetrical during respiration. There are no scars, bruises, or masses. There is a resonant precision note all over the lung fields. There is no tenderness and organ enlargement on palpation. Upon auscultation, the lung fields are clear with vesicular breath sounds. There are no crackles, rhales, or wheezing.

Gastrointestinal: the abdomen is round with a normal contour. The bowel sounds are present at a normal rate and rhythm. There is a tympanic percussion note. There are no areas of tenderness an organ enlargement upon palpation.

Integumentary/Skin: warm, dry and intact throughout. Good turgor, no lesions

 

Lab results: None

                                                                     Assessment

Diagnoses

Family planning

No contraindication to Paragard IUD

Paragard IUD pre-procedure counseling

PMHx asthma, controlled                                   

Plan

Family planning

  1. Yearly checkup and pap smear are due
  2. The patient was advised about the risks, advantages, and efficacy of all contraceptive alternatives, as well as any adverse effects that may occur.
  • Patient received advice on safe sexual behaviors and STI prevention.
  1. The use of condoms, fertility awareness, interrcourse, and abstinence until the planned IUD placement were all addressed.
  2. Examined all emergency contraceptive alternatives, including their effectiveness and accessibility. Family Planning Case Write Up Assignment Essay Paper

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IUD

  1. I recommended an intrauterine device for this patient because it does not have any adverse systemic effects. The common side effect is increased menstrual bleeding. However, IUD does not protect against sexually transmitted infections. it is contraindicated in abnormal uterine bleeding, uterine or cervical malignancy, endometrial infections, and distorted uterine cavity. The college of Gynecology and obstetrics states that IUD should not alter routine cervical cancer screening (Gunardi, et al., 2022). A bimanual examination and cervical examination are mandatory before insertion. Routine antibiotics are not recommendable during insertion. Systemic screening for sexually transmission STI before insertion is not recommendable. A blood pressure check is important before initiating hormonal contraception. Cervical cancer screening is not needed before intrauterine device placement. IUD removal is not necessary if a woman develops the pelvic inflammatory disease.
  2. Presented information on the risks and advantages of IUD implantation and usage. Family Planning Case Write Up Assignment Essay Paper
  • Completed the pre-procedure counseling process
  1. Obtained written consent for an IUD procedure
  2. Patient informed about the possibility of menstruation alterations after the placement of an IUD.
  3. Backup should be used until the planned insertion.
  • Return to clinic for IUD implantation in four weeks.

PMHx asthma

  1. Maintain existing drug regimen
  2. Contact the doctor if symptoms worsen or the medicine is not working.

Additional patient teaching

  1. Nutrition and physical activity
  2. There are currently no referrals.
  • Follow-up: IUD implantation and yearly PE are planned for this patient in 4 weeks. The patient verbally acknowledged her comprehension and consented to the plan. Family Planning Case Write Up Assignment Essay Paper

References

Dehlendorf, C., Tharayil, M., Anderson, N., Gbenedio, K., Wittman, A., & Steinauer, J. (2014). Counseling about IUDs: A mixed-methods analysis. Perspectives on Sexual and Reproductive Health, 46(3), 133-140. https://doi.org/10.1363/46e0814

Gunardi, E. R., Wijaya, N. V., Situmorang, H., Kurniawan, R. H., Dwi, M., Priangga, C. T. P., & Pasidri, Y. An Overview of the Counseling Quality of Pre-Insertion of Intrauterine Contraceptive Device in Postpartum Patients. https://www.researchgate.net/profile/Yogi-Pasidri/publication/358904098_An_Overview_of_the_Counseling_Quality_of_Pre-Insertion_of_Intrauterine_Contraceptive_Device_in_Postpartum_Patients/links/621cd1902542ea3cacb8441e/An-Overview-of-the-Counseling-Quality-of-Pre-Insertion-of-Intrauterine-Contraceptive-Device-in-Postpartum-Patients.pdf

I am attaching a paper I already paid someone to do from this site that is inaccurate. I did not read it at the time and just approved the order which was not smart on my behalf. This Family planning case write-up count for 20% of my grade and I really need a good grade. Having said that, I need it to be what the directions are asking for and what the teacher is requesting. It does not matter that age or situation you want to use for the patient, it just much be a family planning situation. Such as a patient came in for counseling on a contraceptive. I dont know what hypertension or left leg pain this other writer chose and then barely addressed the family planning in the very end but this is not what I need. So please know the attached paper does NOT need to be edited, it is an example of what i do NOT need. ****The Utilizing a patient you have seen in the clinic, complete a write-up on a case involving family planning and contraceptive counseling. You will also be graded on the ability to select an appropriate patient encounter or visit in completing this assignment. Please make sure to consult the attached rubric prior to starting. Family Planning Case Write Up Assignment Essay Paper

Subjective Data

Chief Complaint: bilateral lower limb pain and swelling for two weeks., hypertension and family planning clinic follow-up

History of presenting illness: J.R is a 38 years old woman who complaints of lower limb pain for two weeks. The pain is in the calf region and radiates towards the thighs and the ankle. The pain has been gradually increasing in intensity such that the patient is unable to walk. The initial pain was at 6 on a scale of 1-10 and later increased to 9 out of 10. Walking and exertion trigger the pain and resting or pain medication slightly relieves the pain. The pain is associated with swelling of the lower limbs bilaterally up to the mid-thigh region. The patient also reports dizziness, easy fatigability, redness in the calf region, and increased local temperature. However, she denies joint pain, muscle spasms, and numbness of extremities.

Medical history: the patient has had hypertension for three years now. She suffered a left-sided ischemic stroke three months ago due to uncontrolled blood pressure. Since then she has been bedridden and undergoing physiotherapy. She had a hospital admission one and a half years ago due to her left femur fracture. She denies blood transfusion and HDU care.

Surgical history: the patient has had three surgical procedures within three years. She has had two cesarean sections to deliver her two sets of twin and intramedullary nailing after a left femur fracture. Since the surgeries, she has had minimal movements.

Current medication: Family Planning Case Write Up Assignment Essay Paper

  1. Tylenol 1g PO TDS for pain
  2. amlodipine 10mg PO OD for hypertension
  3. losartan 50mg PO OD for hypertension
  4. aspirin 81mg PO OD as prophylaxis for ischemic stroke

Allergies: No known drug, food, or environmental allergies

Immunization: her immunization schedule is up to date. The last pneumococcal vaccine was three months ago.

Family history: J.R is the last born in a family of five. Her two sisters are 50 and 48 years with diabetes mellitus, uterine fibroids, and hypertension. His brother is 44 years old and has had asthma for 40 years and colon cancer for 10years. Her other sister is 42 years with no chronic illness. Her mother is 70 years with hypertension and osteoarthritis. Her father is 74years and has osteoarthritis, hypertension, BPH, anemia, and chronic kidney disease. Her maternal grandparents died at old age due to diabetes mellitus related complications. Her paternal grandparents passed on due to old age. Her two sons are asthmatic and her youngest daughter has type one diabetes mellitus. There is no family history of lung and breast cancer.

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Social history: J.R is a 38years old Hispanic female. She recently graduated with a master’s degree in finance. She has worked as a banker for twelve years. Currently, she is the operations manager in the bank. She is in a monogamous marriage for fifteen years and has five children three sons and two daughters. She lives with her children, husband, and domestic manager.  J.R and her husband participate in outdoor activities with their friends once a month. However, she has not gone out for a while now since the onset of the illness. She is a staunch catholic who attends church services regularly. She faithfully participates in church activities. She enjoys singing in the church choir. She denies drinking alcohol and smoking tobacco. She takes healthy meals every. She has not been able to do physical exercise since her last operation.

Obstetrics and gynecological history

Menstrual history: Her menarche was at the age of 13 years. Her last normal menstrual period was 1/4/2022. She has a regular 28days menstrual cycle with three days of moderate flow. She denies pain and cramping during menstruation. She has no inter-menstrual bleeding.

Contraception: She is not on any contraception currently because she has not been sexually active. She previously used three years hormonal implant that was effective for three years despite adding weight. She later used the five years implant for two years she became pregnant while still using it. Since then, she used combined oral contraceptives but she was not consistent in taking them because of the severe adverse effects. However, she fell pregnant again because of interrupting the combined oral contraception. Since delivery, she has not been sexually active because of her CS wound, which is healing well.

Cervical and vaginal cytology: her last pap smear was two years ago with normal findings.

Infections:

  1. Vuval vaginal candidiasis in July 2020
  2. Urinary tract infection in March 2021
  3. Barth Olin’s cyst in December 2018

Sexual history: J.R is heterosexual. Her first sexual experience was at the age of 22years old. She has had one sexual partner. She uses a condom when engaging in anal sex at least once a week. She denies sexual harassment, dyspareunia, vagina dryness, and changes in libido. He last sexual encounter was when she was seven months pregnant.

Obstetric history: the patient is para3+0 with five children. She has two sets of twins. Her first child is ten years old, born via spontaneous vertex delivery at term. She had no pregnancy-related complications. Her second delivery was a twin pregnancy born via cesarean section because the first child had a breech presentation. Her third delivery was six months ago-twin pregnancy born at term. During the second pregnancy, the patient developed gestational hypertension and was taking methyldopa to control her blood pressure. Family Planning Case Write Up Assignment Essay Paper

Review of systems

General: J.R walks into the office in a wheelchair. She denies chills and rigors, fever, profuse night sweats, weight loss, fatigue, insomnia, and headache.

HEENT: J.R denies headache, dizziness, blurring of vision, eye ache and itchiness, and sore throat. She regularly attends a dental clinic for a check-up. She has no recurrent nosebleeds, halitosis, and difficulties in swallowing.

Neck: J.R has no history of anterior neck swelling and pain

Breast: J.R denies breast pain, lumps, and nipple discharge. She regularly goes for a breast mammogram for a check-up. The last mammogram was in December 2020 whose findings were normal.

Cardiovascular: the patient has lower limb swelling, and an inability to participate in physical activities. However, she denies chest pain, palpitations, syncope, orthopnea, and paroxysmal nocturnal dyspnea.

Respiratory: the patient denies chest pain, coughing, runny nose, difficulties in breathing, wheezing, and sputum production.

Gastrointestinal: she denies abdominal pain, nausea, vomiting, reflux, heartburn, Melena stool, and constipation, abdominal discomfort caused by the intake of meals such as bread and pasta. Her appetite had gradually reduced. She takes two to three meals a day.

Genitourinary: the patent denies dysuria, hematuria, increased frequency of urination, urine incontinence, and lower back or flank pain.

Musculoskeletal: She reports having had femur fractures one and a half year ago. She also complains that her bones have weakened over time and has a problem with standing, bending, and reaching. However, she denies joint stiffness and problems with a range of motion in large joints or hands. The patient states the use of seat belts for every ride in the car.

Psychiatric: J.R denies low mood, irritability, insomnia, fatigue, hopelessness, hallucinations, delirium, anxiety, and suicidal thoughts.

Neurologic: The patient denies headache, dizziness, changes in her gait and posture, resting tremors, body weakness, facial droop, tingling sensation, and numbness.

Endocrine: J.R denies heat intolerance, excessive sweating, weight loss, excessive thirst, cracked skin, dry hair, and brittle nails.

Hematologic/lymphatic: The patient does not have a history of anemia, easy bruising, spontaneous bleeding, and cold extremities.

Allergies: the patient is not allergic to cold, dust, pollen, fur, and smoke. There is no known food or drug allergy.

Objective Data

General: The patient is oriented to time, place, and person. She is calm and dressed for the environment. She has no pallor, dehydration, jaundice, cyanosis, lymphadenopathy, or finger clubbing.

Local examination: the patient has lower limb swelling bilaterally up to the mid-thigh. The swollen region is red, shiny, has increased local temperature, and is tender to palpation.

VS: Temp: 36.9, BP- 165/84 HR-78, RR-14, O2 sat-98percentage RA, Height- 5’6” Weight-196 lbs.

HEENT: the head is a-traumatic, normal-cephalic without masses, bruises, or lesions. The hair is clean with no scalp scales. The head is non-tender with no palpable mass. The eyes are in the right position with no discharge, tearing, crusting, peri-orbital edema, or redness. The retina is intact with no signs of bleeding and cataracts. The hearing function is intact for both high medium and low medium pitches. There is no accumulation of wax, redness, swelling, or discharge at the inner ear. The nose is round. The mucus membrane is pink and moist. There is no nose bleeding or nasal discharge. The mouth has no visible ulcers, oral candidiasis, and inflammation of the tongue. The gum is clean with a pink color, holding natural teeth. The neck is round with normal skin color. There is no visible mass. On palpation, the neck is soft and non-tender. There is no venous enlargement. Family Planning Case Write Up Assignment Essay Paper

Cardiovascular system: the peripheral pulse is present at a normal volume, regular rate, and rhythm. There is no neck veins distension. The heart sounds S1 and S2 are present at the fifth intercostal space mid-clavicle line. There are no parasternal heaves, rubs, gallops, and murmurs heard o palpation. There is no bilateral lower limb edema.

Breast examination: the breasts are of normal pigmentation, size, and shape. The left breast is slightly bigger than the right breast. The areolar is dark with averted nipples. The axillary lymph nodes are not palpable. There is no tenderness and no mass upon palpation.

Respiratory system: the chest walk expansion is symmetrical during respiration. There are no scars, bruises, or masses. There is a resonant precision note all over the lung fields. There is no tenderness and organ enlargement on palpation. Upon auscultation, the lung fields are clear with vesicular breath sounds. There are no crackles, rales, or wheezing.

Gastrointestinal system: the abdomen is round with a normal contour. The bowel sounds are present at a normal rate and rhythm. There is a tympanic percussion note. There is no shifting dullness or fluid thrills. There are no areas of tenderness an organ enlargement upon palpation. The liver span is 9cm.

Genital and Rectal: The external genitalia is of normal size and shape. The labia majora has moist skin and it is intact. It is pink in color. There are no noted bruises or erythema. The Barth Olin gland is soft, pink, and moist with no bulging. The skene’s is pink and moist. The urethra is moist with no discharge or lesions. The clitoris is pink and the hood skin is intact with hyper-pigmentation. The bladder is not distended, non-tender, and has no palpable mass. The vaginal has health scars from previous spontaneous deliveries. The cervix is moist and pink in color. The cervical OS is centrally located and closed. There is no mucus plug at the cervical opening. The adnexa is moist and non-tender. There is no fluid accumulation at the adnexa space upon speculum examination.

The rectum: the anal opening is pink and moist. The anal sphincter has a good tone. There are no fissures, ulcerations, mass, anal piles, discharge, or hemorrhoids.

Musculoskeletal/Peripheral Vascular: the patient assumes an upright posture and gait. The muscle tone, bulk, and power are normal. The patient perceives sharp pain on light touch. The joints easily flex and extend with no stiffness. There is no crepitus perceived upon joint movement. There is no kyphosis, scoliosis, or kyphoscoliosis noted. There are no sensory deficits.

Neurologic:  the patient is oriented to time, place, and person. She responds well during the interview. She is soft-spoken with a low volume, and soft tone. She speaks calmly. The patient is actively listening and maintaining eye contact. The thought process is future-oriented and positive. She has no hallucinations or suicidal ideation. She obeys commands both simple and complex. The cranial nerves and the tendon reflexes are intact.

Integumentary/Skin: the patient’s skin color is uniform and consistent with her ethnicity. It is warm with good skin turgor and capillary refill. There are no open wounds and soreness, skin dryness, flaking, and bruising. The hair distribution is moderate. The nails are soft and smooth with no evidence of finger clubbing.

Assessment

DVT is the most probable diagnosis because the patient has the signs and symptoms. DVT is the formation of a clot in the blood vessels resulting in edema, leg pain, tenderness, warmth, fatigue, and dizziness. However, it is important to perform a D-dimer test and coagulation profile before concluding a DVT. The risk factors for DVT are increased age, immobilization for more than three days, pregnancy and the postpartum period, cancer, stroke, oral contraceptives, surgical procedures, and intravenous drug abuse (Pouncey, et al, 2022). The patient has the risk factors such as surgical procedures, use of oral contraceptives, stroke, and immobilization for up to three days.

Popliteal artery occlusive disease is a disease affecting the lower limbs due to the complete blocking of the blood supply in the lower leg and foot. It presents with calf pain and swelling of the lower limb. Risk factors are old age, smoking, diabetes mellitus, and cardiovascular diseases. Tissue ischemia is associated with a reduction of ambulatory activities. The patient has been immobile for more than two weeks. However, this is not the patient’s diagnosis because she has no cardiovascular disease and does not smoke.

Heart failure is an abnormal function of the heart due to structural changes. The presenting signs and symptoms are orthopnea, lower limb swelling, tachycardia, chest pain, fatigue, and paroxysmal nocturnal dyspnea. The risk factors for heart failure are hypertension, diabetes mellitus, and idiopathic cardiomyopathy. The patient has had a history of hypertension for three years. Additionally, presents with lower limb swelling, fatigue, and syncope. However, it is not the patient’s diagnosis because she does not meet the Framingham criteria for heart failure. Framingham criteria include rales, neck distension, hepatojugular reflux, and pulmonary edema.

Plan

The patient has calf pain and lower limb swelling dizziness, easy fatigability, redness in the calf region, and increased local temperature. She has hypertension and a history of left sides stroke.  She has had three surgeries within three years. Since her last delivery, she has been immobile due to easy fatigability and a left-sided stroke. The patient has has two subsequent pregnancies due to failed contraception. Family Planning Case Write Up Assignment Essay Paper

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Diagnostic tests

  1. D-dimer testing
  2. Coagulation profile
  3. Ultrasonography and venography
  4. Well’s score
  5. Echo-ECG

Pharmacological interventions

  1. Rivaroxaban 20mg PO OD for stroke prophylaxis and treatment of DVT
  2. Tylenol 1g PO TDS for pain
  3. amlodipine 10mg PO OD for hypertension
  4. losartan 50mg PO OD for hypertension

Non-pharmacological intervention

  1. physiotherapy
  2. family planning counseling

The patient has had two subsequent unplanned pregnancies due to failed contraceptive method. The patient has had an encounter with complications of contraception such as weight gain. The patient is aware of the various methods of contraception like lactational amenorrhea, coitus interruptus, natural family planning, combined oral contraception, and hormonal implant. However, the hormonal implant was not effective because she got pregnant in her second year. the combined oral contraceptive has undesirable adverse effects that make it hard to comply with it. She says that she fears using coitus interruptus and natural family planning method because she might conceive gain. She needs a contraception method that will not have a risk to her weight, high blood pressure, and deep venous thrombosis.

Combined oral contraceptives are the commonly used pills because they are easy to administer and are readily available. They reduce menstrual cramping, acne, pelvic inflammatory disease, and benign breast mass. However, they have common side effects like breast tenderness, nausea, headache, and weight gain. Combined oral contraceptives increase the risk for venous thrombosis, hypertension, stroke, and hepatocellular adenoma (Metz, et al, 2022). The estrogen component in the oral contraceptives activates the blood clotting mechanism and hence the risk for thromboembolism. Oral contraceptives cause estrogen-induced increases in renin substrate that increases blood pressure in patients with preexisting hypertension.

I would recommend an intrauterine device for this patient because it does not have any adverse systemic effects. The common side effect is increased menstrual bleeding. However, IUC does not protect against sexually transmitted infections. it is contraindicated in abnormal uterine bleeding, uterine or cervical malignancy, endometrial infections, and distorted uterine cavity. The college of Gynecology and obstetrics states that IUC should not alter routine cervical cancer screening (Gunardi, et al, 2022). A bimanual examination and cervical examination are mandatory before insertion. Routine antibiotics are not recommendable during insertion. Systemic screening for sexually transmission STI before insertion is not recommendable. A blood pressure check is important before initiating hormonal contraception. Cervical cancer screening is not needed before intrauterine device placement. IUD removal is not necessary if a woman develops the pelvic inflammatory disease.

 

References

Gunardi, E. R., Wijaya, N. V., Situmorang, H., Kurniawan, R. H., Dwi, M., Priangga, C. T. P., & Pasidri, Y. An Overview of the Counseling Quality of Pre-Insertion of Intrauterine Contraceptive Device in Postpartum Patients.

Metz, L., Isacco, L., & Redman, L. M. (2022). Effect of oral contraceptives on energy balance in women: A review of current knowledge and potential cellular mechanisms. Metabolism, 126, 154919.

Pouncey, A. L., Kahn, T., Morris, R. I., Saha, P., Thulasidasan, N., & Black, S. A. (2022). Risk Factors and Classification of Reintervention Following Deep Venous Stenting for Acute Iliofemoral Deep Venous Thrombosis. Journal of Vascular Surgery: Venous and Lymphatic Disorders. Family Planning Case Write Up Assignment Essay Paper