For all those who are preparing for mid year aiims exams…im posting 2 important flow charts …so many times questions have come on missed pills. Now suppose your patient was not using pills but was using transdermal patch . These patches have to be changed every week and have to be used for 3 weeks followed by a week without using patch.
Timing on the day of application need not be precise as the patch is very forgiving( unlike POP pills) .
Q1. So many times especially for the first time users the patch detaches (this happens in 5% females) …what do u advise …see flow chart 1
Q2. Suppose next week when patient had to apply the patch , she forgets …then what to do
here remember a delay of uptil 2 days is acceptable , but not after 2 days.
Mam in diabetes in pregnancy, the dose of folic acid supplementation is therapeutic or prophylactic?
prophylactic 400 mcg/ day
I guess other means of contraception
yes…back up is some other form of contraception
maam… Is there any such type of flow for ocp too… If 1 pill missed… Like this?
Mam u said that lynch syndrome is a risk factor for endometrial ca and while dividing into categories u said it is PTEN is gate keeper for endometrial ca ! Please explain
ma’am will obesity be considered a risk factor for PPH
So, for patch detachment >24 hrs and for forgotten patch >48 hrs back up is required !