Problem
Mary is a 35-year-old G3P3 who wants to use an IUD as her method of birth control (BCM). She reveals that she has heavy menses lasting for up to 7 days each cycle and suffers from endometriosis. She asks for advice on which IUD you would suggest. Her BMI is 24 and all VS are WNL. She just finished her menses two days ago and has not had any intercourse since before her menses began and her partner has been consistently using condoms. She has no contraindications for IUD insertion.
A. Describe the IUD options for Mary, explaining the mechanism of action (MOA) for each, length of use, possible side effects, and danger signs, as well as correct and consistent use of her selected method.
B. Describe your plan of care for Mary along with your rationale.
C. Discuss what questions you would ask the patient, what physical exam elements you would include, what further testing you would want to have performed, differential and working diagnosis, treatment plan, including inclusion of complementary and OTC therapy, referrals and other team members needed to complete patient care.