Most effective mode of contraception for a woman with hea disease?
IUCDs are the most effective mode of contraception for this paicular woman. IUCDs are safe in woman with hea disease. They come under the first-tier contraceptive methods, which are the most effective in terms of failure rate and ease of use. These methods require only minimal user motivation and intervention and have an unintended pregnancy rate less than 2 per 100 women during the first year of use and provide the longest duration of contraception after initiation and require the fewest number of return visits. Other Options: Oral Pills: are usually combined preparations. The contraindications to their use is dependant on the patient factors are unknown her, oral pills should be excluded. Norplants: are first tier, levonorgestrel releasing devices, contraindications to which include thrombosis or thromboembolic disorders. Again, since the patient factors are unknown, this should be ruled out. Condoms: are not contraindicated in this woman. But they are third-tier methods and their expected failure rate is 10 to 20 percent per 100 users in the first year. Hence very less effective than an IUCD.. Ref: Williams Gynaecoloy 3rd edition Pgno: 105,112
Oral pills
Norplant
Condom
Intrauterine Contraceptive Devices (IUCD)
Disorders of menstruation