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OCP/men/meno

OB\/GYN

TOPIC/MEDAboutEtiologyPathologyPresentationDxManagement screeningOTher
Contraceptives methods name 5 Progesterone only Combo Copper IUD Emergency Contraception Permanent
Emergency contraception POSTCOIDAL includes (4) Copper IUD Levonrgestrel High dose estrogen progestin Ulipristal
which is the most effective emergency contraception if insterted within 5-7 days Cupper IUD prevents 99%
when should Levonrgestrek be given if used as E Contraceptive Given within 72 hours after intercourse but effective up to 5 days
High dose estrogen progestin Given with in 72 hours MOA: inhibits ovulation
Ulipristal Progestib receptor modulator that delays ovulation must be taken with in 5 days. MOST EFFECTIVE requires prescription
Estrogen and progestrine oral contraceptives MOA prevents ovulation and implantation by inhibiting mid-cycle LH surge, thickens cervervial mucosa and thins endometrium
Estrogen and progestrine oral contraceptives Advantages Improve dysmenorrhea abnormal uterine bleeding acne Hirsutism
Estrogen and progestrine oral contraceptives Protective protective against osteoporosis ovarian and endomerterial cancers Reduces ectopic pregancy risk, decreases ovarian cysts and benign breast diseases
what are the disadvantages of combo ocps Hypercoagulability gall statisos Increased fluid retention increased Trig Hepatic adenomas
CI for combo ocp Ischemic heart dz Hypercoag states Breast cancer migrane with aura smokers severe HTN
Tobacco users what to know >35/>15 cigarettes a day then NON-hormonal methods <35/<15 Progestin only
Lactating women what to know when it comes to contraception Non-hormonal methods or progestin ONLY
Hypercoagulable states what to know for contraception NOn hormonal or progestin only
Uncontrollled HTN what type of birth control do you want to use Progestin only
if a pt has DM what type of birth control do you want to use Non-vascular dz: all forms are safe Neuropathy/retinopathy.nepropathy: progestin only methods
Progesterone only pill Norethindrone Thickens the cervical mucus thins the endometrium and suppresses ovulation Indications Women in whom estrogen containing contraceptives is either contraindicated or causes additional health issues ( Migraine w/ aura, >35, smoke >15 smokes, lactating, uncontrolled HTN, Severe DM Advantages Safe during lactation and reduces the risk of endometrial cancer
Progesterone only contraceptive Injectable MOA ADRS Last 3 months MOA: suppresses FSH and LH ADRS may lead to calcium loss, bone weakness, osteoprosis so not usd more than two years
Intrauterine levonorgestrel HOw long is it good for ADRS Good for 5 years Uterine perforation Increased risk of ectopic pregnancy and PID
Copper IUD Good for ADRs Good for ten years PID and heavry periods
Clomiphene citrate MOA Indications ADRs Partial estrogen receptor agonist that stimulates ovulation via hypothalamus leading to increased LH and FSH Induces ovulation to enhance fertillity with patients with PCOS Hot flashes most common ovarin enlargemnt Multiple gestation abdominal discomfort
Leuprolide MOA Indications Gonafotropin relasing hormone analog Indications - Fertility: if given pulsatile ADRs hot flashes and osteopenia
Danazol MOA hypoestrogenic and hyperandrogenic Indications endometriosis (suppresses LH & FSH production), fibrocystic breast dz ADR hyperandrogenic side effects and heptic dysfunction
Ovarian cysyts Ovarian cysts are fluid-filled structures that may be simple or complex.They are common findings usually discovered incidentally on physical examination or imaging. Ovarian cysts can cause complications, including rupture, hemorrhage, and torsion, which are considered gynecological emergencies.
Created by: Xander635
 

 



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