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Day 2
Drugs, and Others
| Question | Answer |
|---|---|
| Progestin: more similar to natural progesterone | C21 Progestins |
| Progestin: Have moe androgenic properties | Estrane progestins |
| Progestin: Have decreased androgenic | Gonane Progestines |
| Progestin: Have no androgenic activity but have antimineralicorticoid | Drosperione |
| Medroxyprogesterone acetate (Depo-Provera) | C21 Progestine |
| Levonorgestrel (Plan B) | Gonane Progestines |
| Seasonale | (Gonane) 84+ 7 Inert |
| Jolessa | (Gonane) 84+ 7 Inert |
| Quasence | (Gonane) 84+ 7 Inert |
| Seasonique | (Gonane) 84 + 7 low dose estrogen |
| Loestrin Fe 24 | (Estrane)24 + 4 inert |
| Yaz | (Drosperione) 24 + 4 inert |
| Kariva | (Gonane) 21 + 5 very low estrogen + 2 inert |
| Mircette | (Gonane) 21 + 5 very low estrogen + 2 inert |
| Lybrel | (Gonane) Low dose estrogen (NOT very low dose) |
| OC ADr: Treatment of spotting or irregular bleeding | Increase Estrogen w/in first 10 days OR Increase Progestin after that |
| Risk factors that increase serious OC ADR | Smoking, HTN and Age > 35 |
| Transpermal Patch | BBW (DVT), Use back-up during 1st month |
| Nuvaring | (Ethinyl estradiol + Etonogestrel - Gonane) - 3 wk + 1 wk off. > 3hr = reinsert + 7d backup |
| Norethindrome? | Progestin Only Pills (mini) - ADR: bleeding -- Use NSAIDS |
| Progestin: SQ or IM q3month | Depo-Provera |
| Progestin: May take 12-18 mo for fertility after D/C | Depo-Provera |
| Progestin: Mirena? | IUD (Levonorgestrel - Gonane) - Last for 5 years |
| Progestin: Sudermal Insert for 3 years | Implanon (Etonogestrel) |
| Nonxynol 9 | Sperm destroyer (jelly/foams/films) |
| Home Pregnancy Testing: Highest sensitivity | first day of missed menses (90%) OR One week after missed mense (97%) |
| Home Pregnancy Testing: Unreliable | Gave birth or had a miscarriage in the past 8 wks, fertility drugs (false positive) |
| Home Pregnancy Testing: most accurate urine (have higher hCG) | morning (if test negative, retest in one week) |
| Home Fertility Testing: highest success for fertilization | Two days before, the day, and one day after ovulation |
| Home Fertility Testing Indicator? | Measure LH surge (indicated by a color change) |
| Home Pregnancy Testing: Type of test for prolonged fertility issues | digital device with >100 testing strips (most expensive but very accurate) |
| Yasmin | (Drosperione) 21 + 7 inert |
| Pregnancy Termination: Drug that disrupts implantation | Methotrexate |
| Pregnancy Termination: Drug that administer vaginally | Misoprostol (Cytotec) |
| Pregnancy Termination: Drug that must sign "Provider's Agreement" and requires 3 office visits | Mifepristone (Mifepres) - RU-486 |
| Home Pregnancy Testing Indicator | hCG positive. Pregnancy cannot be dected beofre implantation has occurred |
| Definition: Dysmenorrhea | painful period (menstruation) |
| Definition: Menhorragia | excessive bleeding - may lead to anemia |
| Definition: Dyspareunia | painful sexual intercourse |
| Oral CHC effective within? of starting | one week even some need 1 month of backup |
Created by:
_Tom_
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