Contraception in morbid obesity subject

Case report

Abstract

Introduction: Obese women are part of a rapidly growing segment of the population, deserving special consideration in their counseling and management of contraception. Obesity is associated with serious long-term health outcomes. Therefore, the use of a safe and effective contraceptive is essential. Thus, the purpose of this report was to show the best contraceptive method for women with morbid obesity. Case Report: A 32-year-old woman, Body Mass Index (BMI) 48.8 kg/ m², using a male condom as the only form of contraception, denies morbidities and smoking, reports social alcohol habit, had a single gestation, cesarean delivery, searched Dr. Carlos Teixeira Brandt Clinical School of the Medical Schoo  - Olinda to choose the ideal contraceptive for her current situation. In the face of the anamnesis and physical examination, the conduct was the referral for bariatric surgery, as well as to follow the guidelines on contraceptive methods, whose choice was the copper intrauterine device (CIUD). Comments: In view of the uncertainties regarding the efficacy of contraceptive methods in women with morbid obesity, the risks offered and the patient's willingness to use a long-term reversible method, it was suggested to use CIUD, which, besides being available in the public health network, has no evidence of decreased effectiveness due to the increase in the BMI.