Contraception options for women with medical conditions

Abstract

Women with complex medical conditions face increased risk during pregnancy or when using certain contraceptive methods. This makes appropriate contraception provision planning essential for their health and well-being. Effective contraception provision will enable these women to plan and space pregnancies or avoid unintended pregnancies and therefore reduce the risk of maternal or fetal complications. Obstetricians and Gynaecologists along with other healthcare providers will frequently encounter these women and may be expected to advise on suitable contraceptive options. In this case-based article, we explore how to assess these patients and provide tailored contraceptive advice by considering medical eligibility, efficacy and acceptability of various contraceptive methods. We hope to emphasize the importance of individualized care, shared decision-making, and maintaining up to date clinical knowledge when providing contraceptive advice.