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Birth Control


First Generation Progestins Norethindrone (Nora-BE) Ethinylodiol diacetate
Second Generation Progestins Norgestrel Levonorgestrel (Plan B, Mirena, Skyla)
Third Generation Progestins Norgestimate (Ortho) Desogestrel
1st vs. 2nd vs. 3rd Gen Progestins - Differences? 1st - mildly androgenic, most breakthrough bleeding 2nd - most androgenic, less bleeding than 1st gen 3rd - least androgenic, least weight gain, least acne
Estrogen - side effects of too much vs. too litte Too much: nausea, breast tenderness, HA, bloating Too little: spotting, breakthrough bleeding early/mid-cycle
Progestin - side effects of too much vs. too little Too much: Breast tenderness, HA, fatigue, mood swings Too little: breakthrough bleeding late cycle
Androgenic side effects weight gain, acne, hair growth, dyslipidemia
Ring vs. patch vs. pill Ring - least estrogen side effects (lower exposure) Patch - most estrogen side effects (highest exposure)
Dealing with acne Switch to COC with 3rd gen progesterone, increase estrogen dose, switch to continuous regimen
Dealing with breakthrough bleeding Early or mid-cycle: increase estrogen dose Late cycle: Increase progestin dose
Dealing with migraines Switch to progestin-only pill
Created by: eyeless