More Contraceptives

Question 1

Contraceptive ring - brand name

Answer 1

NuvaRing

Question 2

Which hormone(s) does NuvaRing use?

Answer 2

estrogen and progestin

Question 3

Trio of No-Nos for hormonal contraceptives

Answer 3

older ( > 35)
smoker
HTN

Question 4

If ring comes out, how long is window of time for reinsertion?

Answer 4

3 hours

Question 5

“the patch” - brand name

Answer 5

Ortha Evra

Question 6

At what weight does ortho evra become less effective?

Answer 6

> 90 kg

~ 198 lbs

Question 7

Is more or less estrogen released by the patch than OCPs?

Answer 7

more by the patch

Question 8

What is one place the patch should not be placed?

Answer 8

the breast

Question 9

What happens if a patch is off for > 24 hours?

Answer 9

start new 4 week cycle and use backup

Question 10

Which hormone(s) does Depo use?

Answer 10

progestin only

Question 11

What is one possible muskuloskeletal effect of Depo?

Answer 11

~bone density reduction with LT use

Question 12

What is the grace period for the next injection with Depo?

Answer 12

2 weeks after the 3 month effectiveness timeframe

if longer, do HCG before next injection

Question 13

How long does Implanon last?

Answer 13

3 years

Question 14

Which hormone(s) does Implanon use?

Answer 14

progestin

Question 15

Typical pattern of bleeding with Implanon?

Answer 15

there is no typical - spotting, absent periods, prolonged periods

Question 16

What is LNG-IUS?

Answer 16

levonorgestrel releasing intrauterine system

Mirena

Question 17

What effect does an IUD have on Asherman’s syndrome?

Answer 17

can prevent

Asherman’s syndrome = intrauterine adhesions, often after uterine procedures

Question 18

When in the cycle should an IUD be inserted?

Answer 18

anytime in cycle

Question 19

How soon after giving birth can an IUD be inserted?

Answer 19

4 - 8 weeks

Question 20

When does a diaphragm need to be refitted?

Answer 20

20 lbs up or down

Question 21

How long must a diaphragm or cap be left in the vagina after intercourse?

Answer 21

6 hours

Question 22

What is a side effect of spermicide of which to be aware?

Answer 22

irritation with prolonged exposure

first degree burn can result

Question 23

Which form of BC has a risk of toxic shock syndrome?

Answer 23

the sponge if left in too long

Question 24

How long before intercourse can the sponge be inserted?

Left in place after for how long? Provides protection for how long?

Answer 24

up to 6 hours
at least 6 hours
12 hours

Question 25

The sponge should not be left in for more than how long?

Answer 25

30 but teach 24 because it’s easier to figure out and leaves cushion of time

Question 26

What is the generic name of Plan B?

Answer 26

levonorgestrel - 85% effective

this is NOT the abortion pill

Question 27

What is the generic name of the “abortion pill”?

Answer 27

mifepristone

Question 28

Other than Plan B, what is another form of emergency contraception?

Answer 28

Copper IUD - 99% effective