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Teachable Moment
January 28, 2019

Contraception Counseling in Patients With SLE and Other Chronic Medical Conditions Requiring Potentially Teratogenic Medications: A Teachable Moment

Author Affiliations
  • 1Emory University School of Medicine, Atlanta, Georgia
  • 2Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, Georgia
  • 3Division of General Medicine and Geriatrics, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
JAMA Intern Med. 2019;179(4):562-563. doi:10.1001/jamainternmed.2018.7990

A sexually active young woman with systemic lupus erythematosus (SLE) complicated by lupus nephritis was hospitalized for a lupus flare after discontinuing treatment with her medications. The patient had been diagnosed in her teens and received induction therapy with cyclophosphamide followed by maintenance therapy with mycophenolate mofetil. Despite being sexually active, she reported no contraceptive counseling at the time of diagnosis or prior to initiation of treatment with potentially teratogenic medications.

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