Abstract

In my early years as a women’s health nurse practitioner, the health maintenance organization director informed me that a member had filed a complaint about a routine visit that I had completed for a young woman who requested oral contraceptives for the management of dysmenorrhea. The patient’s mother was upset because the visit included a gynecologic examination. This was the late 1970s, and the standard of care for prescribing oral contraceptives included several blood tests, sexually transmitted infection (STI) screening, and a Pap test.

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