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
DU PA Contraception
Duke PA Contraception
| Question | Answer |
|---|---|
| smokers 35 years and older: never put them on __ containing contraception | estrogen |
| what is the Pearl Index | the number of unintended pregnancies per hundred women per year |
| failure rate of coitus interruptus | 4-27% |
| failure rate of fertility awareness-based contraception if used perfectly | 9% |
| general failure rate of fertility awareness-based contraception | 20-25% |
| average fertile period is __ days per cycle | 6 |
| unprotected intercourse __ days before ovulation results in 15% pregnancy rate | 3 |
| unprotected intercourse __ days before ovulation results in 30% pregnancy rate | 1-2 |
| unprotected intercourse the day of ovulation results in __% pregnancy rate | 12 |
| sperm can survive in the female up to __ days | 5 |
| the mature egg may be fertilized over a __ period | 24 hour |
| the time from ovulation to implantation is about __ days | 7 |
| different barrier methods | spermicide, cervical cap, diaphragm, condom, sponge |
| the only readily available spermicide in the US | nonoxynol-9 |
| nonoxynol-9 has a __% failure rate | 10-29 |
| cervical caps can be worn for up to __ hours | 48; insert up to 24 hrs before intercourse |
| cervical caps have a __% failure rate | 9-32 |
| diaphragms have a __% failure rate | 10-20 |
| diaphragms increase the risk of __ | UTIs, vaginitis, and nonmenstrual toxic shock |
| female condoms have a __% failure rate | 5-20 |
| never use a __ and a female condom at the same time | male condom |
| __ condoms break more than latex ones | polyurethane |
| male condoms have a __% failure rate | 3-15 |
| contraceptive sponge increases the risk of __ | nonmenstrual toxic shock |
| contraceptive sponge has a __% failure rate | 10-40 |
| oral contraceptives have a __% failure rate | 3-9 |
| oral contraceptives decrease risk of __ | ovarian and endometrial cancer |
| oral contraceptives may increase the risk of __ cancer | breast |
| oral contraceptive effects due to estrogen | inhibit ovulation (suppressed FSH surge), alters endometrium, luteolysis (degeneration of corpus luteum) |
| oral contraceptive effects due to progestin | inhibit ovulation (suppressed LH surge), thickened cervical mucus, sperm become less effective, hampers implantation |
| __ only oral contraceptives are less effective than combination type | progestin |
| absolute contraindications to estrogen containing OCPs | Cardiovascular dz, smoker >35 yo, coagulation disorders, dyslipidemia, DM, neurologic dz, PG, undiagnosed vaginal bleeding, estrogen dependent neoplasm, liver disease or adenoma |
| relative contraindications to estrogen containing OCP's | HTN, DM w/ CAD or PVD, gallbladder dz, h/o cholestatic jaundice in pregnancy, epilepsy, leg injury/cast/immobilization, elective surgery, sickle cell, migraines, obesity, FH of CVD |
| negative effects of OCPs | no std protection, take everyday, benign liver tumors, worsened gallbladder problems, clots, expensive, insurance issues |
| common side effects of OCPs | GI, wt changes, menses changes, breast changes, migraines, edema, Rash, melasma, depression, decreased libido |
| oral contraceptive that may be a good option for breastfeeding women, smokers over 35, and those who are good pill takers | minipills (progestin only) |
| injectables have a __% failure rate | 1-2 |
| depo-provera has a __% failure rate | 0.3 |
| depo-provera shots are given IM every __ months | 3 |
| what is the FDA black box warning for dep-provera | risk of osteoporosis; use >2 yrs only if no other options |
| implants have a failure rate of __% | 1-4 |
| problems with implants | menstrual irregularities,amenorrhea, wt gain, acne, depression, less effective in obese |
| the patch has a failure rate of __% | 1-2; less effective in pt >90 kg |
| black box warning for the patch | greater risk of thrombotic events than OCPs |
| nuva ring has a failure rate of __% | 1-2 |
| emergency contraception is best if initiated within __ hours after unprotected intercourse | 72; but can be taken up to 120 hrs after |
| emergency contraception can be given up to __ days after unprotected intercourse | 5 |
| emergency contraception is not an __ | abortifacient |
| the two emergency contraceptives that are effective after implantation | mifepristone (RU486), paragard-t IUD |
| 2 intrauterine devices/systems available in the US | paragard, mirena |
| IUDs have a __% failure rate | 0.5-1.5 |
| paragard copper has a failure rate of __% | 0.7 |
| how does the copper in paragard work to prevent pregnancy | changes cervical mucus and makes a hostile environment for sperm |
| paragard copper is approved to last for __ years in US | 10 |
| there is a decrease in __ cancers with paragard use | cervical and endometrial |
| mirena IUS has a failure rate of __% | 0.1 |
| mirena lasts for __ years in the US | 5 |
| lactation has a __% failure rate | 10 + |
| medical abortion has a failure rate of __% | 15 |
| vasectomy has a failure rate of __% | 0.15 |
| female sterilization has a __% failure rate | 0.5 |
| tubal ligation increases the risk of __ slightly | ectopic pregnancy |
| probably the most widely used mechanical contraception in the world | condom |
| suckling results in a reduction in the release of what hormones | Gnrh, LH and FSH |
| which version of vaginal diaphragm are the easiest for women to use | arcing spring |
| what is the rate of pregnancy with typical use of vaginal diaphragm | 15-20 per 100 woman years |
| small cup like diaphragms placed over the cervix and are held in place by suction | cervical cap |
| only spermacide available in US | nonoxynol 9 |
| when used alone spermacides have a failure rate of | 15% |
| ovulation occurs __ days before the first day of the next menstrual period | 14 |
| the fertile interval should be assumed to extend from at least __ days before ovulation and no less than __ days after ovulation | 2, 2 |
| although this is the most commonly used method of periodic abstinence it is the least reliable with a failure rate of about 35% | calendar method |
| the __ day after the onset of elevated temperature is considered the end of the fertile period | third |
| starting several days before and until just after ovulation the mucus becomes __ | thin and watery |
| the __ method if used properly is the most effective of all the periodic abstinence approaches | symptothermal |
| the most accurate method of determining ovulation time is to demonstrate the __ | LH peak |
| most women experience __ when taking the 7 days of placebo pills that come with OCPs | withdrawal bleeding |
| it is good practice to recommend an additional form of contraception during __ of taking OCPs to maximize efficacy | the first week |
| withdrawal bleeding can be expected in __ days after completion of the 21-day regimen of active pills | 3-5 |
| what are the reasonably established benefits of OCPs | reduction of ovarian and endometrial cancer risk, ectopic pregnancy, PID, menstrual disorders, benign breast disease and acne |
| use of most current combinations of OCPs roughly __ a user's risk of venous thromboembolism | triple |
| __ provides reasonably good protection against pregnancy without suppressing ovulation | progestin-only minipill |
| __ must be taken each day promptly. even a delay of 2-3 hours diminishes contraceptive effectiveness for the coming 48 hours | progestin-only minipill |
| ideal candidates for progestin only contraceptives | older women who smoke, women with sickle cell anemia, mental retardation, migraine, hypertension, SLE, women who are breastfeeding |
| plan B emergency contraception must be given within __ of intercourse | 72 hours |
| major side effects of combination hormonal emergency contraception | nausea and vomiting |
| the vaginal ring is worn for __ | 3 weeks per month |
| the vaginal ring may be removed for up to __ although it is designed to be left in place even during intercourse | 3 hours |
| if the patch has become detached for __ or less the cycle continues as usual, however if it has been longer than __ a new patch should be applied and back up contraception should be used for 1 week | 24 hours |
| what are the two types of IUDs available in the US | copper T 380A, and a levonorgestrel-releasing device |
| Sponge can be worn for: | 24 hours |
| Sponge: contraindication: | sulfa allergy |
| Depo Provera AE | bleeding abnormalities (80%); wt gain (60%); lipid changes, depression, acne |
| common myths about OCPs | Need to take a break; Causes infertility ; Women over 35 shouldn’t take OCPs; cause weight gain |
Created by:
bwyche
Popular Medical sets