Gynecology Book

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Contraceptive Selection in Diabetes Mellitus

Aka: Contraceptive Selection in Diabetes Mellitus
  1. See Also
    1. Contraception
    2. Diabetes Mellitus
    3. Type I Diabetes Mellitus
    4. Type II Diabetes Mellitus
    5. Insulin Resistance Syndrome
    6. Glucose Metabolism
    7. Diabetes Mellitus Education
    8. Diabetes Mellitus Complications
    9. Diabetic Ketoacidosis
    10. Hyperosmolar Hyperglycemic State
    11. Diabetes Mellitus Control in Hospital
    12. Diabetes Mellitus Glucose Management
    13. Hypertension in Diabetes Mellitus
    14. Hyperlipidemia in Diabetes Mellitus
    15. Diabetic Retinopathy
    16. Diabetic Nephropathy
    17. Diabetic Neuropathy
  2. 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
  3. 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
  4. References
    1. Cagnacci (2009) Contraception 80(1):34-9 [PubMed]
    2. Rogovskaya (2005) Obstet Gynecol 105(4):811-5 [PubMed]
    3. Xiang (2006) Diabetes Care 29(3):613-7 [PubMed]

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