Clinical Scenario: Complex contraception and pharmacists

What providers need to know about a complex contraceptive case and the pharmacy setting
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The scenario:

A 24 year-old patient comes into the pharmacy and is interested in initiating pharmacist-prescribed birth control. She has been sexually active with one male partner for the last 8 months and currently relies on external (male) condoms. She expresses interest in a pill because she wants something discreet and reversible but is open to pharmacist recommendations.

She reports irregular cycles over the past year, with periods ranging from 26–38 days. Her last menstrual period (LMP) was 11 days ago. She denies recent unprotected intercourse since her LMP.

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