Dysuria with a Negative Urine Culture or When is a UTI not a UTI?
Dysuria with a Negative Urine Culture or When is a UTI not a UTI?
Dysuria with a Negative Urine Culture or When is a UTI not a UTI?
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Pearls: pills f<strong>or</strong> obese women<br />
• Efficacy <strong>is</strong> acceptable<br />
– Epidemiologic studies conflicting, RCT and large<br />
prospective coh<strong>or</strong>t reassuring<br />
• Absolute r<strong>is</strong>k <strong>is</strong> likely to be small: a 60% increase in r<strong>is</strong>k<br />
implies an increase in failure from 7% to 11% in the first<br />
year of typical use of OCs in the United States<br />
• Safety profile <strong>is</strong> acceptable<br />
• There are better options<br />
Dinger, JC et al Am J Obstet Gynecol 2009<br />
Westhoff, CL et al Obstet Gynecol. 2010 Aug;116(2 Pt 1):275-83
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