Ashley comes to the clinic with a request for oral contraceptives. She has successfully used oral contraceptives before and has recently started dating a new boyfriend so would like to restart contraception.
She denies recent intercourse and has a negative urine pregnancy test in the clinic. An appropriate plan of care would be:
1. Recommend she return to the clinic at the start of her next menses to get a Depo Provera shot.
2. Prescribe oral combined contraceptives and recommend she start them at the beginning of her next period and use a back-up method for the first 7 days.
3. Prescribe oral contraceptives and have her start them the same day as the visit with a back-up method used for the first 7 days.
4. Discuss the advantages of using the topical birth control patch and recommend she consider using the patch.
Question 2
Progesterone-only pills are recommended for women who:
1. Are breastfeeding
2. Have a history of migraine
3. Have a medical history that contradicts the use of estrogen
4. All of the above
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