Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
CM Contraception
Contraception
| Question | Answer |
|---|---|
| Pearl index measures | The number of unintended pregnancies per hundred women per year |
| Method with the greatest unplanned pregnancies | Calendar/Rhythm method |
| Method with the least unplanned pregnancies | Injectables |
| Average fertile period | 6 days per cycle (time from ovulation) |
| How long can sperm survive in the female? | 5 days |
| From ovulation to implantation is about __ days if the egg is fertilized | 7 |
| Limitations of Spermicide | Does NOT protect against HIV, chlamydia, or gonorrhea. Also often causes irritation and allergic reactions in women and me |
| CI of female condom | never use male and female condoms at the same time |
| CI of contraceptive Sponge Today | Cannot use if sulfa allergy. |
| nonoxynol-9 is | spermicide |
| Physiologic effects of estrogen in COCPs | usually inhibit ovulation by suppressing FSH surge, alters endometrium, luteolysis (degeneration of corpus luteum) |
| Physiologic effects of progestin in COCPs | usually inhibits ovulation by suppressing LH surge, thickens cervical mucus, sperm become less effective, hampers implantation |
| Androgenic effects (from progestin) | testosterone-like effect, weight gain, hirsutism, acne |
| Absolute CIs to Estrogen containing OCPs | CV disease, smoker over 35 (equivalent to CV disease), coagulation disorders (inc. DVT, PE), dyslipidemia (Triglycerides>350mg/dl), Diabetes (with CAD or PVD), Neurologic Dz, pregnancy, undiagnosed vaginal bleeding, liver dz or adenoma |
| Relative CIs to Estrogen containing OCPs | HTN, Diabetes without CAD or PVD, Gallbladder dz, Hx of cholestatic jaundice in pregnancy, epilepsy, leg injury or cast, immobilization (DVT!), elective surgery, SS, Migraines, Obesity, Family hx of CVD |
| Negative effects of OCPs | No STD protection, daily dosing, benign liver tumors, worsening gallbladder problems, blood clots, strokes (more in smokers), expensive |
| Common AEs of OCPs | N/V, weight changes, change in menses (BTB, amenorrhea), breast changes, migraines, edema, rash, melasma, depression (progesterone), decreased libido |
| Dosage notes for Minipills | take every dat and the same time "obsessive regularity" |
| Who are minipills a good option for? | breastfeeding women, smokers>35 and for those who can't tolerate estrogen |
| OCPs may improve | ovarian cysts, uterine fibroids, fibroadenomas and fibrocystic breast dz, ectopic pregnancy, acute PID, iron deficiency due to blood loss, mittleschmerz, acne, persistent anovulation, ovarian failure |
| Dep Provera Notes | IM every 3 months, amenorrhea after a year or so, weight gain can be significant, lipid changes, depression, HA, acne, delayed return of fertility and ovulation (up to 1 year), risk of osteoporosis. CAN be used in smokers or nursing moms |
| Implanon | is a 1 rod etonogestrol (progesterone only) implant that is effective for 3 years. |
| Major reason for dc of implants | menstrual irregularities. Also AEs include: amenorrhea, weight gain, acne, depression, may be less effective if obese |
| Dosing of Ortho Evra patches | 1 patch per week for 3 weeks, then one week off. |
| Ortho Evra patch notes | less effective if >90kg, may be a higher risk of venous thromboembolic events than OCPs due to higher consisten estrogen blood levels |
| Black box warning of Ortho Evra patches | Greater risk of thrombotic events (CVA, MI) than OCPs. (use with caution in smokers at any age, do not use in smokers >35) |
| Nuva ring contains | progestin and estrogen |
| When do you insert a nuva ring? | day 5 of menstrual cycle, wear 3 weeks, off one week. Insert new ring every 4th week. |
| Emergency Contraception Dose | Most effective if given within 72 hours of unprotected intercourse (can be taken 120hrs/5 days later) |
| MOA of emergency contraception | suppresses ovulation, changes cervical mucus and endometrium. NOT AN ABOTIFACIENT |
| Dosage of Plan B | can take both tablets at once; progesterone only |
| Preven ingredients | Estrogen and progesterone |
| Hormonal Emergency contraception | If given prior to menses, menses is 3-7 days earlier than expected, if given after ovulation, menses is at expected time or delayed. |
| Which drug carries a risk of Osteoporosis? | Depo Provera |
| _______ may cause an increase of venous thromboembolic events than OCPs | Ortho Evra Patches |
| Which types of emergency contraceptions are effective post implantation and result in abortion? | Mifepristone (RU486) and Paragard-T IUD |
| ________ is AKA "reversible sterilization" and is an excellent choice for women who cannot take estrogen | IUDs. They set up a "hostile environment", are not abortifacients, and do not cause infection (organisms do!) |
| This IUD can cause heavy bleeding and cramping (so NOT for women w/ menorrhagia or dysmenorrhea) | ParaGard (copper IUD) |
| This IUD slowly releases progestin which changes the cervical mucus | Mirena (note: increased incidence of ovarian cysts) |
| Essure is what type of birth control? | Non-incisional permanent birth control |
| _____ is a transcervical sterilization system using electrothermal energy | Adiana |
Created by:
ltm12