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Contraception lab

14 methods21 conditions5 scenarios

Start from what she wants, check what she is eligible for, then offer the options that fit, most effective first. The scenarios grade the recommendation; the tables are there to be looked up, not memorised.

The patient

Migraine with aura, wants something reliable

26, nulliparous, migraine with visual aura, non-smoker, wants the most reliable method and lighter periods, not planning pregnancy for years.

What she wants

  • Effectiveness
  • Lighter periods
  • Nothing to remember

What constrains the choice

  • Migraine with aura: oestrogen is category 4

Recommend one method