Contraception complications

A patient’s mental state must be taken into account when it comes to birth control.

The GP has known Melinda through her adolescence. Melinda performed extremely well in her exams, despite some truanting.


She also experienced an eating disorder and episodes of self-harm while in high school. However, she was always personable.

Her mother was very supportive, and always allowed time for the GP to see Melinda on her own. Melinda was referred to a psychologist and a psychiatrist, who diagnosed her with bipolar disorder.

Gynaecological history
Melinda presented at age 14, accompanied by her