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Discussion

Relative vs absolute

I need clarification. It's regarding this sentence:

Depression is a "relative" contraindication for combined OCPs due to the hormonal effects that can affect mood. "Absolute" contraindications include hepatoma of the liver, history of embolic episode, history of TIAs, and undiagnosed lady partsl bleeding. OCP should not be considered in these instances due to the high risk factors and health risks.

I do not understand how the word "relative" is used here. I know what they mean by absolute. I looked at a few dictionaries but I do not understand how it is used here, in a medical situation. Can someone clarify it for me please?

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It means "benefits balanced vs. risks" for every single case.

In other words, if a patient has depression, but it is controlled (with meds or not), she still can take OCP but needs to be watched closely and educated when and where to seek help. If such woman seeks advice about contraception, she should be told that OCP is an option but they can cause her depression getting worse, and informed about alternatives. If the patient has hepatic tumor, she cannot take OCP and needs to be educated why it is so; if she seeks advice about contraception, OCP should not be an option offered.

  • Author

Wow thank you.

Thanks for posting this. Was taking a practice exam for my boards and there was a similar question. Super confusing.

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