Contraception -- Exam
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| Contraception | the intentional prevention of pregnancy during sexual intercourse.
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| BRAIDED | Used to get informed consent
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| Calendar Rhythm Method | Shortest cycle:24−18=sixth day
Longest cycle:30−11=nineteenth day
always subtract 18 from the shortest cycle
and subtract 11 from the longest cycle
Avoid intercourse in the gap of the result e.g. day 6 to 19
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| Potential pitfalls of using fertility awareness methods include the five Rs: | •Restriction on sexual spontaneity
•Rigorous daily monitoring
•Required training
•Risk of pregnancy during prolonged training period
•Risk of pregnancy high on unsafe days
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| Disadvantages of diaphragm | the reluctance of some women to insert and remove the diaphragm
needs to be inserted in advance, otherwise it will reduce sexual stimulation
not for women with poor vag. muscles or uti
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| Mifepristone | emergency contraceptive
--prevents implantation of Ovum
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| MAPs | emergency contraceptive
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| COC Packages | 91 day, 28 day and 21 day
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| If COC pills are missed: | 1 pill missed: take it immediately and continue regiment
2 pills missed: take 2 pills for 2days and continue
2 pills missed in third week: take one pill until sunday, and start a new schedule
3 or more missed: take pill daily until sunday and restart
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| diaphram, cervical cap | can cause TSS
more effective for nulliparous women
must remain in vagina for 6 hours after intercourse
should be removed every day
fitted by health professional and replaced every year
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| Subdermal implant (implanon) | contraceptive method that lasts three year
a progestin filled rod in inserted under the woman's upper armS
fertily delayed when discontinued
not for women with breast cancer or cardiovascular problems
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| DMPA | injection for contraception given every 3 months
should be reevaluated in two years, and calcium supplement may be necessary
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| COC drug interactions | COCs lower insulin action and has an effect on coumadin, cabarmezepine (tegretol ) and other drugs.
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| transdermal patch | weekly application contraceptive
apply everywhere but the breast
applied only for three weeks, menses in the 4th week
not recommended for obese women
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| Vasectomy: | Avoid tub bath for 48 hours
wear scrotal support
use ice packs
sterility after 6-36 ejaculation or 4 to six weeks
semen checked before unprotected sex
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