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Looking for opinions on whether this is ok to do.
I'm psych with focus on reproductive.
Often see PMDD, usually advise either luteal-phase SSRI or OCP. If SSRI I prescribe, if OCP I tell them to go get it from gyn. Usually offer recs for type of pill (continuous or at least monophasic, Yaz if no clotting related contraindication).
I have patient who asked if I would write the OCP as she is between gyns right now. I said no but generally wondering if this would be an ok thing to do. Ok to start new OCP for PMDD without pelvic exam? Or better to continue to defer to gyn? Asking from both a medicolegal and medical safety perspective.
I'm psych with focus on reproductive.
Often see PMDD, usually advise either luteal-phase SSRI or OCP. If SSRI I prescribe, if OCP I tell them to go get it from gyn. Usually offer recs for type of pill (continuous or at least monophasic, Yaz if no clotting related contraindication).
I have patient who asked if I would write the OCP as she is between gyns right now. I said no but generally wondering if this would be an ok thing to do. Ok to start new OCP for PMDD without pelvic exam? Or better to continue to defer to gyn? Asking from both a medicolegal and medical safety perspective.