How should contraception be managed in women with renal or hepatic impairment?
Contraceptive choices must be carefully considered. For renal impairment, non-hormonal methods like copper IUDs are preferred to avoid further strain on the kidneys. Hormonal contraceptives can be used but require close monitoring. In hepatic impairment, estrogen-containing contraceptives should be avoided due to the risk of liver-related side effects. Progestin-only methods or non-hormonal options are safer alternatives.
