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. Author manuscript; available in PMC: 2009 Nov 12.
Published in final edited form as: J Midwifery Womens Health. 2008 Jul–Aug;53(4):362–375. doi: 10.1016/j.jmwh.2008.01.006

Figure 1.

Figure 1

Proposed management plan if laboratory evaluation is included in management paradigm.a

aThese protocols are suggested for consideration only and should not be considered as definitive practice recommendations.

bLipid profile includes total cholesterol, high density lipoprotein, low density lipoprotein, and triglycerides.

cIf all results remain within normal limits, repeat every 6 months, alternating between FBS and GTT. Consider repeating dual energy x-ray absorptiometry in DMPA users every 3 years in patients with significant risk factors for osteoporosis, especially in those who started DMPA before 30 years of age.

dFollow-up as indicated for normal lab results may provide a useful baseline for the management of these women.

FBS = fasting blood sugar; HC = hormonal contraception; GTT = glucose tolerance test.