Which condition is a contraindication for the use of oral contraceptives?

Prepare for the Kaplan Maternity Integrated Test. Use quizzes with flashcards and multiple-choice questions, each providing hints and explanations. Get ready for your evaluation!

Multiple Choice

Which condition is a contraindication for the use of oral contraceptives?

Explanation:
The correct answer refers to diabetes mellitus, which can be a contraindication for the use of oral contraceptives, especially in certain circumstances. Hormonal contraceptives, particularly combination pills that contain estrogen, can potentially affect carbohydrate metabolism and insulin sensitivity. For women with diabetes, especially those who also have vascular disease or are overweight, the use of estrogen-containing contraceptives may increase the risk of thromboembolic events and other complications. In contrast, hypotension is generally not a contraindication for oral contraceptives, as these medications do not typically influence blood pressure negatively. Thyroid disease is also not an absolute contraindication; many women with well-controlled thyroid conditions can safely use hormonal contraceptives. Allergic reactions would only be a concern if a woman has a specific allergy to one of the components in the contraceptive formulation, but it does not apply broadly to the use of oral contraceptives. Thus, diabetes mellitus presents more significant risks and considerations, leading to its classification as a contraindication depending on the individual's health status.

The correct answer refers to diabetes mellitus, which can be a contraindication for the use of oral contraceptives, especially in certain circumstances. Hormonal contraceptives, particularly combination pills that contain estrogen, can potentially affect carbohydrate metabolism and insulin sensitivity. For women with diabetes, especially those who also have vascular disease or are overweight, the use of estrogen-containing contraceptives may increase the risk of thromboembolic events and other complications.

In contrast, hypotension is generally not a contraindication for oral contraceptives, as these medications do not typically influence blood pressure negatively. Thyroid disease is also not an absolute contraindication; many women with well-controlled thyroid conditions can safely use hormonal contraceptives. Allergic reactions would only be a concern if a woman has a specific allergy to one of the components in the contraceptive formulation, but it does not apply broadly to the use of oral contraceptives. Thus, diabetes mellitus presents more significant risks and considerations, leading to its classification as a contraindication depending on the individual's health status.

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