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Osteoporosis

Options when estrogen-containing contraception is contraindicated

Is long-term use of medroxyprogesterone acetate (Depo Provera) safe in perimenopausal women for whom estrogen-containing contraceptives are contraindicated (e.g., smokers)? At what age would you recommend a dual energy x-ray absorptiometry (DEXA) scan for these patients? —NICOLE McHUGH, MSN, CRNP, Narberth, Pa. While depot medroxyprogesterone acetate (DMPA) provides highly reliable birth control and can alleviate…

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