Birth Control and Menopause

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Notes from Doctors in Training
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Zusammenfassung der Ressource

Birth Control and Menopause
  1. Benefits of birth control
    1. Regulation of menses
      1. Decrease in dysmenorrhea/menorrhagia
        1. Decrease in acne
          1. Decrease in ectopic pregnancy
            1. Decrease in pelvic infections
              1. Decrease in endometrial and ovarian cancer
              2. Problems with birth control
                1. Compliance (daily dosing)
                  1. Increase coagulability (DVT/PE)
                    1. Smokers > 35 years old
                      1. Migraines with aura
                        1. HTN, elevated triglycerides
                          1. GI/nausea
                            1. Mood changes, depression
                              1. Weight gain
                              2. DES
                                1. Clear cell adenocarcinoma
                                  1. Malformations of genitalia, cervix, vaginal wall
                                  2. Menopause symptoms
                                    1. Hirsutism (relative increase of androgens)
                                      1. Hot flashes
                                        1. Atrophy of the vagina
                                          1. Osteoporosis
                                            1. Coronary artery disease
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