Contraception for the Medically Challenging Patient

  • Rebecca H. Allen
  • Carrie A. Cwiak

Table of contents

  1. Front Matter
    Pages i-xx
  2. Melody Y. Hou, Elizabeth Micks
    Pages 1-15
  3. Autumn Davidson, Joan Briller, Julie Chor
    Pages 17-39
  4. Jennifer Corbelli, Eleanor Bimla Schwarz
    Pages 41-53
  5. Meredith Macrae Warden, Jody Steinauer, Elizabeth Harleman
    Pages 55-68
  6. Kelli Stidham Hall, Julia R. Steinberg, Sheila M. Marcus
    Pages 69-92
  7. Lisa B. Haddad, Jessica Tarleton, Anandi N. Sheth, Ighovwerha Ofotokun
    Pages 93-117
  8. Deborah Bartz, M. Angela O’Neal, Andrea G. Edlow
    Pages 119-134
  9. Anne R. Davis, Alison M. Pack, Amanda Dennis
    Pages 135-146
  10. Colleen M. Krajewski, Anne E. Burke
    Pages 147-155
  11. Katharine Simmons, Alison Edelman
    Pages 157-180
  12. Kristina Tocce, S. Lindsey Davis
    Pages 181-204
  13. Jennifer Salcedo, Aparna Sridhar, Tina Rizack
    Pages 205-235
  14. David R. Kattan, Ronald T. Burkman
    Pages 237-253
  15. Ashlesha Patel, Alicia Roston, Kelly Stempinski, Lindsay Zimmerman, Erica O’Neill, Ashok R. Patel
    Pages 255-271
  16. Carrie A. Cwiak, Allison Lange
    Pages 273-285
  17. Monica Dragoman, Andrew M. Kaunitz, Michael R. McClung
    Pages 287-306
  18. Kelly R. Culwell, Geraldine M. Navarro
    Pages 307-320
  19. Aparna Sridhar, Wendy Ho, Tram T. Tran, Angela Chen, Anish Vinit Patel
    Pages 321-335
  20. Julie M. Sroga, Michael A. Thomas
    Pages 337-346
  21. Rachel Perry, Rebecca H. Stone, Sadia Haider
    Pages 347-362
  22. Back Matter
    Pages 363-375

About this book


Women with chronic medical problems are at higher risk for complications during pregnancy and, therefore, they are especially in need of appropriate preconception and contraception care. Furthermore, many women with chronic medical problems do not obtain adequate preconception and contraception care. Despite published guidelines by the Centers for Disease Control and Prevention, there is a substantial gap in medical practice regarding the use of contraception in women with co-existing medical problems.

Contraception for the Medically Challenging Patient fills the gap that currently exists in the knowledge of correct contraceptive prescribing practice and shows that inappropriate contraindications can easily become a barrier to effective contraception use among women. Chapters highlight obsolete views about appropriate candidates for contraception and address the complex contraceptive needs of today's medically challenging patients with HIV/AIDS, uterine fibroids, or cardiac, neurologic or thyroid disease. The book gives attention to recommendations on the use of contraception in women with medical problems such as diabetes, obesity, epilepsy, and lupus, among others, and provides comprehensive information regarding the effects that certain drugs may have on contraceptive hormone levels. While national guidelines do exist for contraceptive eligibility, this book discusses in more detail the evidence behind the guideline recommendations and the nuances that clinicians confront in daily practice.


Cardiac disease Contraception Contraceptive Diabetes Drug interaction Endocrine abnormality Family planning Gastrointestinal disorder HIV Hematological condition Hypertension IUD Perimenopause Pharmacokinetics Preconception

Editors and affiliations

  • Rebecca H. Allen
    • 1
  • Carrie A. Cwiak
    • 2
  1. 1.Department of Obstetrics and GynecologyWarren Alpert Medical School of Brown UniversityProvidenceUSA
  2. 2.Department of Gynecology and ObstetricsEmory University School of MedicineAtlantaUSA

Bibliographic information

  • DOI
  • Copyright Information Springer Science+Business Media New York 2014
  • Publisher Name Springer, New York, NY
  • eBook Packages Medicine
  • Print ISBN 978-1-4939-1232-2
  • Online ISBN 978-1-4939-1233-9
  • Buy this book on publisher's site