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Chapter-19 Contraception

BOOK TITLE: Diabetes Mellitus Issues for the Indian Women

Author
1. Bansal Beena
2. Kaur Parjeet
ISBN
9789352702596
DOI
10.5005/jp/books/18030_20
Edition
1/e
Publishing Year
2018
Pages
6
Author Affiliations
1. Medanta – The Medicity, Gurgaon, Haryana, India, Medanta - The Medicity, Gurgaon 122 001, Haryana, India, Medanta–The Medicity, Gurgaon, Haryana, India, Medanta, the Medicity, Gurgaon, Haryana, India, Medanta - The Medicity, Gurgaon, Haryana, India, Door-to-Care, An Endocrine and Diabetes Clinic, Gurugram, Haryana, India, Medanta—The Medicity, Gurugram, Haryana, India, Medanta - The Medicity, Gurugram, Haryana, India
2. Medanta, The Medicity, Gurgaon, Haryana, India, Medanta Medicity, Gurgaon, Haryana, India, Medanta - The Medicity, Gurgaon, Haryana, India, Medanta - The Medicity Hospital, Gurugram, Haryana, India, Medanta - The Medicity, Gurugram, Haryana, India, Medanta – The Medicity, Gurugram, Haryana, India
Chapter keywords
Contraception, T2DM, hormonal contraception, nonhormonal contraception, intrauterine device, combined oral contraceptive, COC, progestogen-only pill

Abstract

This chapter highlights the need of educating women with diabetes about significant role of contraception and various contraceptives options available to achieve a good prepregnancy glycemic control. In females with type 2 diabetes mellitus (T2DM), intrauterine devices (IUDs) are effective and safe to use in all females. Both copper IUD and levonorgestrel intrauterine system (LNG IUS) are safe, while risk of bleeding is lower with LNG IUS. Combined oral contraceptives can be given in females with T2DM, but should be avoided in those more than 40 years of age, hypertensive, having family history of cardiac events, migraine, or history of smoking. Third generation combined oral contraceptives (COCs) should be preferred because the risk of MI and thrombosis being low with them. Nonoral hormonal contraception and progestogen-only pills (POPs) have similar side effect profile as oral COCs, and can be used when compliance is an issue.

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