Clinical Scenarios

Evidence-based strategies for handling real-world clinical scenarios
Each scenario, drawn from real world clinical experiences of Power to Decide’s Senior Director of Health Care and our network of expert clinicians, tackles questions you may face in the exam room.

Have a scenario you’d like us to cover? Scroll to the bottom of the page to submit your own. New scenarios are published every month. 

Showing 18-19 of 19 results

Emergency contraception (EC) for transgender or gender nonbinary (TGNB) patients

A 19 year-old patient (he/him) comes to your emergency department in the early morning. He is seeking HIV post-exposure prophylaxis (PEP) following unprotected sex with a male partner the night before. During intake, he discloses that he is transgender and was assigned female at birth (AFAB). He is amenorrheic as a result of testosterone use for gender-affirming hormone therapy. At your facility, cisgender women seeking PEP are also offered EC.

Birth Control and Lactation: Which Methods Affect Milk Supply?

A 25 year-old patient (she/her) is interested in starting birth control four weeks after having her first child. She is breastfeeding but needs to supplement formula one to two bottles a day because of “not having enough milk.” Prior to pregnancy she was happy with a hormonal implant but is unsure if this method is safe while producing milk.

Clinical scenario: Which IUD is it?

A 22 year-old patient (she/her) is currently using an IUD and had it placed at another clinic out of state three years ago. When asked which IUD she has, she is not sure, though she thinks it has hormones. She reports having light, irregular periods. Overall, she is satisfied with the IUD and wants to continue using an IUD for birth control.
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