Gynecology Book

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Contraceptive Selection in Diabetes Mellitus

Aka: Contraceptive Selection in Diabetes Mellitus
  1. Indications: Highly effective Contraception where pregnancy risk is too high
    1. Poorly controlled diabetes (increased risk of major congenital anomaly)
    2. Severe macrovascular and microvascular complications
  2. Management
    1. Oral Contraceptives with low-dose Estrogen and less androgenic Progestin
    2. Intrauterine Device (Copper-T IUD or, based on recent data, Mirena IUD)
    3. Avoid Depo Provera
  3. References
    1. Cagnacci (2009) Contraception 80(1):34-9
    2. Rogovskaya (2005) Obstet Gynecol 105(4):811-5
    3. Xiang (2006) Diabetes Care 29(3):613-7

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