Jill is a 24-year-old female G1 P0. She had a surgical pregnancy termination at seven weeks EGA at the age of 18. She is sexually active in a mutually
monogamous relationship with her male partner of three months and has engaged in unprotected vaginal intercourse. She and her partner have been
practicing coitus interruptus, but now desire a more effective form of birth control. She has tried the combination birth control pill in the past, but had
difficulty remembering to take it every day and became pregnant at age 18. She reports no adverse symptoms during her prior pill use and reports no current
medical conditions and no other surgical history, but she takes St. John’s Wort daily because she heard from a friend that it helps to improve mood. She
denies a history of depression and she is not currently depressed. Her LMP was two days ago. Her VS are all WNL. She is 5’6” and weighs 135 lbs.
Review the WHO Medical Eligibility Criteria and Contraceptive Use and select an appropriate BCM (select between Depo Provera, Ortho Evra, Nuva Ring, or
IUD) for Jill.
Describe any possible side effects, possible warning signs, and contraindications associated with the selected BCM.
Please refer to evidence-based guidelines to support your decision-making.
