Permanent contraception (sterilization) Quiz: Ace Your Exams
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A 23-year-old woman, gravida 0, presents to the office to discuss contraception. She does not want children and does not desire to become pregnant. She is interested in learning about sterilization. Her sex partners have all been biologically female, and she has had a single, long-term partner for the past year. Her medical history is notable for severe endometriosis, chronic pelvic pain, and an appendectomy for a ruptured appendix. She takes oral contraceptive pills (OCPs) for her endometriosis, which reduces pelvic pain somewhat. The physical exam reveals a 4 cm well-healed incision in the right lower quadrant; on a bimanual pelvic exam, the patient experiences generalized pelvic discomfort, and the uterus has poor mobility. Comprehensive contraceptive counseling is provided. The patient is surprised to learn there are so many options and decides to research long-acting reversible contraceptive (LARC) methods. At this time, why is permanent sterilization contraindicated in this patient?
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