Medical Contraception Flashcards
Oral Contraceptives that are safe to use in smokers over 35.
Progesterone Only Pills (POPs)
How are POPs associated with depression?
They can worsen depression, however, they do NOT cause depression
Are POPs good for 1st time oral contraceptives?
No, they have to be taken daily to be effective and most 1st time users are not very compliant
Which POPs are associated with increased risk of thrombosis (DVT or PE)?
3rd generation
What are Combination Oral Conctraceptive Pills (COCPs)?
Medication that contains both Progestin (progesterone analog) and usually Ethinyl Estradiol (estrogen analog)
COCPs are most notably known for relieving symptoms of this condition.
Endometriosis
Most worrisome risk of COCP use.
DVT or PE
What is the association of cancer and COCPs?
No increased risk of cancer with use.
In fact, women that develop cancer regardless of COCP use often had it detected earlier while using COCPs because of more regular physician visits and exams.
Why are COCPs not used in women with aura migraines?
Increased risk of stroke with higher estrogen levels
What is the association between COCPs and HTN?
COCPs can exacerbate HTN. However, if the HTN is controlled and normal BP maintained, COCPs are a safe option.
Why are COCPs indicated for women with heavy and/or irregular bleeding?
The estrogen component maintains a normal cycle to prevent irregularity and the progesterone prevents breakthrough bleeding.
Two biggest complaints with an estrogen surplus during oral contraceptive use.
Edema
Acne
Best choice for an oral contraceptive in a young healthy woman that has never used it before.
Ethinyl Estradiol (EE) + low dose norgestimate (Ortho-Tri-Cyclen Lo)
mimics normal cycle, less risk of acne
When should missing a COCP pill merit use of emergency contraception?
If pills are missed in days 1-7
What is the major non abortifacient emergency contraception?
High Dose Levonorgestrel (Plan B one step)
