Question 91 · LEK · Contraception
A 41-year-old patient came to gynecologist asking for advice on contraception during perimenopause. She has two children, and has diabetes mellitus type I diagnosed at the age of 4. The current level of glycated haemoglobin HbA₁C is 8.9%, urine albumin excretion - 40 mcg/mg creatinine, her blood pressure is about 130/80 mmHg, ophthalmoscopy showed pre-proliferative retinopathy. Which of the following methods is contraindicated in this patient?
- A. cervical mucus-body temperature method.
- B. progestin-only pill.
- C. combined oral contraceptive pills with ethinylestradiol and levonorgestrel.
- D. barrier method.
- E. intrauterine device with levonorgestrel.
Hint
Note the vascular complications of her long-standing diabetes and ask which method contains estrogen.
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