solved Before prescribing an OCP regimen, what tests or examinations would
Before prescribing an OCP regimen, what tests or examinations would you like to perform? I would like to do a pap smear and a mammogram. Also, I would like to monitor blood pressure since this patient has an extensive family history with particular cardiovascular risk factors. The chronic use of oral contraceptives will slightly increase the systemic BP in most women. (Mir, Ardabilygazir, Afshariyamchlou, & Sachmechi, n.d.). Also, I would like to do a more extensive assessment in this patient to evaluate if she suffers from headache or any other medical problem.2. Identify three different contraceptive regimens that could be chosen for J.L. Note their differences and why you chose them.The use of oral contraceptive is beneficial to those women who trying to plan pregnancy without any invasive procedure or implantation of an IUD. OPC has been shown a highly effectiveness when used correctly. Patient could benefit from some benefits that brings the use of oral contraceptive as is the case of reduce heavy and painful periods creating a more regular and stables menstrual flow. Currently, there are three types of oral contraceptive pills: combined estrogen-progesterone, progesterone only and the continuous or extended use pill. (Cooper & Mahdy, 2020). Combination pills contain estrogen and progesterone and the mini pills has only progesterone.3. Identify the potential side effects that need to be relayed to J.L. Note especially those side effects for which J.L. should seek immediate medical care.Patients who are under OCPs should be aware that most of this pills can cause various side effects. Breast tenderness, headache and migraine, weight gain, mood change and sometimes decreased libido. One of the potential side effects that J.L should seek immediate care include rise in Blood pressure. Malignant hypertension (MH) has been described in association with high-dose (50 – 100 mcg) estrogen oral contraceptive pills (OCPs). (Mir, Ardabilygazir, Afshariyamchlou, & Sachmechi, n.d.). Also, this patient has an extensive history of cardiovascular diseases running in her family, so monitoring blood pressure should be into consideration.ReferenceCooper, D. B., & Mahdy, H. (2020). Oral Contraceptive Pills. Retrieved from PubMed website: https://www.ncbi.nlm.nih.gov/books/NBK430882/Mir, D., Ardabilygazir, A., Afshariyamchlou, S., & Sachmechi, I. (n.d.). Malignant Hypertension in Association with Low Estrogen Dose Oral Contraceptives: Case Report and Review of Literature. Cureus, 10(7). https://doi.org/10.7759/cureus.2978