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Cerebral Palsy pt

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I had the grandma of a CP female patient ask if I could put in Implanon so the pt would not have vaginal bleeding.  I guess otherwise she bleeds all the time irregularly.  She is confined to a wheel chair and uses briefs for bowel and bladder.  The grandparents are incredibly attentive to the 24 year old patient.  Of course I said I don't do Implanon, but I said I would look into natural alternatives.  The grandma is a devout Catholic and wanted to know more once I explained why I don't do birth control.

This is a hard, real life, situation.  What do you all think I should do?

Amy Hogan, MD

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