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Progestin Pills

Contraception

QuestionAnswer
What is the other name for the progestin only pill? Mini pill
What components may be in the mini pill? norethinestrone or norgestrel
What is considered a missed pill for the mini pill? more than 3 hours missed
What does a pt do if she misses a mini pill? use backup contraceptive for 48hrs and continue to take pills as prescribed
What is the MOA for mini pill? 1. cervical mucus thickening 2. prevent LH surge 3. endometrial decidualization 4. decrease tubal motility
What are the side fx of mini pill? GI; nausea, bloating GU: irregular bleeding 3. weight gain 4. headache 5. acne/oily skin/hirsutism with more androgenic prep 5. persistent ovarian follicles
What are the absolute C/I of mini? do not know of one
What are the relative C/Is of mini? 1. prev ectopic 2. current functional ovarian cysts 3. severe liver disease 4. severe arterial disease 5. breast ca
What is the basic make up of a COCP? ethinyl estradiol plus a progestin
What additional compound may be present in COCPs? Cytoproterone acetate(anti-androgenic fx), drospirone (reduce bloating)
How are COCPs taken? 21 days with 7 days off/7 days of inert tablets
What is the difference b/w MOA of COCP and progestin? Suppresses ovulation by inhibiting LH and FSH. Rest are like progestin
What is considered a missed pill in COCP? more than 12 hours
What should a pt who missed a COCP do? take pill, and extra contraceptive precautions for 7 days
What if less than 7 pills are left in COCP packet and they are missed? start next packet and do not go pill free
How long does it take to return to fertility in COCP? 3 months
What cancers does the COCP protect against? Endometrial and ovarian Ca (and benign breast disease)
What cancers does the COCP increase the risk of? cervical ca
Created by: IonaDel
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