Ana de Luca
STIS / CONTRACEPTION
A 16-year-old nuligesta patient wishes to start misall
METHODS contraceptive. What can we guide?
Combined hormones: In adolescents,we talk a lot → aboutlac and itisalllong-
- Injected monthly. term to avoid pregnancy intheadolescent.
- adhesive. IUD/SIU/implant.
- oral.
CASE 3
- vaginal.
A 48-year-old patient comes to a routine consultation and
barrier: says thatmenstruationisgetting "verymessy"and should
- Male and female condom. be the fault of the Copper Diu that putthere 8 years ago.
- diaphragm.
The patient may be in the climatisriver. It is difficult to
- Cervical hood.
take the IUD, because it can still get pregnantandnot to
use combined.
Intrauterine:
- IUD. CASE 4
- SIU.
Patient 24 years old, primigesta nuliparawith a historyof
Behavioral: leyden factor V deficiency. How can we guide this patient?
- Tabelinha.
The patient has a risk of thrombosis. Youcan't use
- Chimin interrupted.
combos! Use copper Diu or SIU.
- temperature.
- mucus. CASE 5
- Contraindication:irregular cycle.
A 27-year-old primigesta nulipara patient witha history
Definitive: ofvon Willebrand's disease. How can we guide this
patient?
- Ligation.
- vasectomy. Von Willebran isresponsiblefor aggregatingthe plaque.
Risk of bleeding. CopperIUDcounterindication, as it
Progestágenos: increases bleeding.
- implant.
- oral. Copper IUDisalso not interesting in patientswho cannot
- Injectit. lose blood such as sickle cell anemias andthalassemias,
sickentherins(not repõand blood that losesin
The rules for the carrying outof the ligation, in the SUS or menstruationdue to theeffectivenessof erythropoietin).
by the convênio, arein the family planning law (federal
law no. 9,263/96). The only reasonforawomantobe able CASE 6
toperform the surgery is to have more than 25 years or
A pregnant patient wants to knowwhattheir
at least two children alive.
contractionoptions forpuerpisriver.
Vasectomy, in the case of the man (he must be aged26
years), isalso free, provided that, conform the rules of
Itcan't matched in puerpisriver!
the Unico de Saúde System (SUS), the couple alreadyhas
It can: barrier, immediateIUD orafter 6 months,
two children or more.
progestágenos injectableor implant, in the consultation in
the consultations pós-partum can prescribe
CASE 1
progestagenos quarterly and progesterone tablets.
A 32-year-old patientwho is asmoker wants to start misall When itis in exclusive breastfeeding blocks shaft. When
contraceptive. He denies comorbidities. he left/bled, it was over.
What can we guide?
When the puerp isover,you can go back to usingestrogen.
You have to have thepatient's blood pressure checked. Spend 6 months: you can put IUDs.
With normal PA, you can use all misall. With SAH,you SPECULAR EXAMINATION
cannotuse combinations.
1
It could guide the use of IUD due to age and for being
Vaginal wall withnormal colorand preservedwalls.
effective for quite some time.
Countofthe fluid, whitish,collectedin the bottom of the
bag, in small amount.
CASE 2
STIS / CONTRACEPTION
A 16-year-old nuligesta patient wishes to start misall
METHODS contraceptive. What can we guide?
Combined hormones: In adolescents,we talk a lot → aboutlac and itisalllong-
- Injected monthly. term to avoid pregnancy intheadolescent.
- adhesive. IUD/SIU/implant.
- oral.
CASE 3
- vaginal.
A 48-year-old patient comes to a routine consultation and
barrier: says thatmenstruationisgetting "verymessy"and should
- Male and female condom. be the fault of the Copper Diu that putthere 8 years ago.
- diaphragm.
The patient may be in the climatisriver. It is difficult to
- Cervical hood.
take the IUD, because it can still get pregnantandnot to
use combined.
Intrauterine:
- IUD. CASE 4
- SIU.
Patient 24 years old, primigesta nuliparawith a historyof
Behavioral: leyden factor V deficiency. How can we guide this patient?
- Tabelinha.
The patient has a risk of thrombosis. Youcan't use
- Chimin interrupted.
combos! Use copper Diu or SIU.
- temperature.
- mucus. CASE 5
- Contraindication:irregular cycle.
A 27-year-old primigesta nulipara patient witha history
Definitive: ofvon Willebrand's disease. How can we guide this
patient?
- Ligation.
- vasectomy. Von Willebran isresponsiblefor aggregatingthe plaque.
Risk of bleeding. CopperIUDcounterindication, as it
Progestágenos: increases bleeding.
- implant.
- oral. Copper IUDisalso not interesting in patientswho cannot
- Injectit. lose blood such as sickle cell anemias andthalassemias,
sickentherins(not repõand blood that losesin
The rules for the carrying outof the ligation, in the SUS or menstruationdue to theeffectivenessof erythropoietin).
by the convênio, arein the family planning law (federal
law no. 9,263/96). The only reasonforawomantobe able CASE 6
toperform the surgery is to have more than 25 years or
A pregnant patient wants to knowwhattheir
at least two children alive.
contractionoptions forpuerpisriver.
Vasectomy, in the case of the man (he must be aged26
years), isalso free, provided that, conform the rules of
Itcan't matched in puerpisriver!
the Unico de Saúde System (SUS), the couple alreadyhas
It can: barrier, immediateIUD orafter 6 months,
two children or more.
progestágenos injectableor implant, in the consultation in
the consultations pós-partum can prescribe
CASE 1
progestagenos quarterly and progesterone tablets.
A 32-year-old patientwho is asmoker wants to start misall When itis in exclusive breastfeeding blocks shaft. When
contraceptive. He denies comorbidities. he left/bled, it was over.
What can we guide?
When the puerp isover,you can go back to usingestrogen.
You have to have thepatient's blood pressure checked. Spend 6 months: you can put IUDs.
With normal PA, you can use all misall. With SAH,you SPECULAR EXAMINATION
cannotuse combinations.
1
It could guide the use of IUD due to age and for being
Vaginal wall withnormal colorand preservedwalls.
effective for quite some time.
Countofthe fluid, whitish,collectedin the bottom of the
bag, in small amount.
CASE 2
