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What is Which of these is the best contraceptive option in a 30 year old woman, P1L1 with hea disease? and explain in detail?
Steroidal contraceptives: progesterone component causes worsening of lipid profile, water retention, risk of thromboembolism (mostly with third generation progestins) hence not preferred in patients of hea disease Sterilisation may be considered once family is complete, since the patient is 30 year old with incomplete family , it is not the contraceptive of choice here Barrier contraceptives have a high failure rate IUCD is the contraceptive of choice in hea disease patients