Anamnesis Checklist for Informed Oral Contraceptive Choices : A Spanish Perspective
Perelló Capo, Josep (Universitat Autònoma de Barcelona)
Molina, Á.B. (Hospital Universitario Reina Sofía (Còrdova, Espanya))
Santos, J.T. (Universidad Católica San Antonio de Murcia)
Arqueros, M.L.M. (Complejo Asistencial Universitario de Palencia (CAUPA))
de la Viuda, E. (Clínica Palacios)
García-Ramos, B.O. (Universidad del País Vasco)
Jaraíz, D.P. (Hospital Clinica Tara)
Otero, L.I.D. (Hospital Nuestra Señora de Fátima)
Universitat Autònoma de Barcelona

Fecha:	2025
Resumen:	Objectives: This study aimed to develop an anamnesis checklist for oral contraceptive (OC) choice focused on their safety profile and associated risk factors. Study Design: This study involved eight health care professionals in Spain, including six gynecologists and two internists, selected for their expertise in contraception counseling. We employed the design-thinking process, structured in five phases: empathizing with patients' needs, defining key areas of impact, devising innovative solutions, prototyping ideas into testable proposals, and validating prototypes. This process involved an analysis of the available literature, online discussions, and an online survey to evaluate importance and frequency of variables in anamnesis. Medians were computed for each variable, and the study group collaboratively determined the variables to include in the anamnesis checklist. Results: Women must be informed about contraceptive options, according to health care professionals. Body mass index, smoking status, blood pressure, and personal history were identified and prioritized as variables to consider during OC counseling. Participants emphasized the need to individualize the treatment, highlightling the safety profile of progestin-only pills over OCs due to the lack of increased venous thromboembolism risk. Conclusions: The study emphasizes the importance of an anamnesis prior to prescribing an oral hormonal contraceptive, as well as the most relevant risk factors that should be analyzed. A checklist was developed to facilitate safe OC prescribing.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Anamnesis ; Contraception ; Oral contraceptives ; Progestin-only pills ; Safety ; Venous thromboembolism
Publicado en:	Women's Health Reports, Vol. 6 Núm. 1 (january 2025) , p. 50-59, ISSN 2688-4844

DOI: 10.1089/whr.2024.0073
PMID: 39882137

10 p, 2.0 MB

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