Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Repro 2 Final > Contraception and Sterilization > Flashcards

Contraception and Sterilization Flashcards

1
Q

What are the 2 general contraceptive mechanisms?

A
  • inhibit the formation and release of the egg

- impose a mechanical, chemical, or temporal barrier between the sperm and the egg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the difference between method failure rate and typical failure rate?

A
  • method: when it’s used correctly

- typical: when it’s actually used by the patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What kind of contraception do hormonal contraceptives provide?

A

-the reversible kind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the major player in COC’s?

A
  • progesterone
  • suppresses LH and therefore ovulation
  • thickenc cervical mucous
  • creates an unfavorable atrophic endometrium for implantation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What does the estrogen component of COC do?

A

-mainly improves cycle control by stabilizing the endometrium and allows less breakthrough bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the less androgenic agents?

A
  • desogestrel
  • norgestimate
  • drospirenone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When is the progestin only pill usually used?

A
  • in breastfeeding women and women who have a contraindication to estrogen
  • these are the ones that must be taken at the same time every day starting on the first day of menses
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the benefits of hormonal oral contraceptives?

A
  • menstrual cycle regularity
  • improve dysmenorrhea (painful)
  • decrease risk of iron deficiency anemia (shorter and less intense periods)
  • lower incidence of endometrial and ovarian cancers (cysts)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are some side effects of oral contraceptives?

A
  • breakthrough bleeding
  • amenorrhea
  • other mild ones like bloating and stuff
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 2 big serious side effects of oral contraceptives?

A
  • Venous thrombosis

- Pulmonary embolism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does the transdermal patch have in it?

A
  • E and P
  • one patch weekly for three weeks
  • caution in women >198 pounds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is one of the cool things about the vaginal ring?

A
  • better tolerated since not going through GI tract

- less breakthrough bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What women CANNOT use oral contraceptives?

A
  • women over 35 who smoke
  • thromboembolic event
  • hx of CAD, or other heart things, uncontrolled htn
  • women with moderate to severe liver disease or liver tumors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How often do we have to give the depot medroxyprogesterone acetate shot?

A
  • every 11-13 weeks
  • maintains conraceptive level of progestin for about 14 weeks
  • preffered to be given within first 5 days of menses and if not use a back up method for 2 weeks
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Is the efficacy of depo shot altered by wiehgt?

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What can happen with depo ppl that we are concerned about especially in adolescents?

A
  • alterations of bone metabolism
  • bone loss!
  • it’s reversible after discontinuation
17
Q

What are some side effects of depo?

A
  • irregular bleeding
  • menses can take up to a year to regulate after discontinuation
  • weight gain
  • exacerbation of depression*
18
Q

What are some indications for use of depo?

A
  • contraception (duh)
  • breastfeeding
  • seizure disorders
  • Sickle cell
  • Decrease risk of endometrial hyperplasia (makes sens)
19
Q

Contraindications of Depo

A
  • know or suspected preggo
  • unevaluated vaginal bleeding
  • breast malignancy
  • thrombophlebitis
  • liver dysfunction
20
Q

What is Nexplanon?

A
  • that rod thing that has etonogestrel in it
  • lasts for 3 years
  • thickens cervical mucous
  • inhibits ovulation
21
Q

side effects of the implant rod?

A
  • headache
  • weight gain
  • breast pain
  • acne
22
Q

Indications for implant rod?

A
  • desires a convenient effective method of contraception

- may be used in breastfeeding patients

23
Q

contraindications for implant rod?

A
  • kind the same for depo
  • preggo
  • liver tumors
  • AUB
  • breast cancer
24
Q

What are some risks for IUDs?

A
  • increased risk of infection withing the first 20 days post insertion
  • ectopic preggo if preggo would occur
  • uterine perforation
25
Q

Contraindications for IUDs?

A
  • breast cancer
  • recent puerperal sepsis
  • recent septic abortion
  • cervical infection
  • Wilsons disease (copper T only)
26
Q

What are the 3 kinds of IUDs?

A
  • Copper T (Paragard)

- Levonorgestrel releasing: Mirena/Liletta, Skyla

27
Q

How long does Mirena last?

A
  • 5 years

- Liletta is 3 years

28
Q

Which IUD is the small one that is designed originally for nulliparous women?

A

-Skyla

29
Q

How effective are Levonogestrel IUDs?

A
  • super effective

- preggo rate= 0.2%

30
Q

Benefits of IUD?

A
  • -decrease in menstrual blood loss
  • less dymenorrhea
  • protection of the endometrial lining from unopposed estrogen
  • convenient and long term
31
Q

How long does the copper T (Paragard) last?

A
  • 10 years

- the copper interferes with sperm transport or fertilization and prevention of implantation

32
Q

What will happen to women when they ovulate that will make them able to “naturally” family plan?

A
  • basal body temp will rise .5 -1 degree

- avoid sex for 3 days after

33
Q

What is Plan B?

A
  • progestin only (levonorgestrel)
  • 2 pills taken 12 hours apart
  • must be used within 120 hours after unprotected intercourse
34
Q

What is Ella?

A
  • ulipristal acetate
  • indicated for up to 5 days after unprotected intercourse
  • postpones follicular rupture/inhibits or delay ovulation
35
Q

What are some postoperative complications of a vasectomy?

A
  • bleeding
  • hematomas
  • acute/chronic pain
  • local skin infections
  • not immediately effective- complete azoospermia usually obtained within 10 weeks
36
Q

What is the most reversible clips to put on the fallopian tubes when “tying” them?

A
  • the hulka
  • because there is little tissue damage
  • the filshie have lower failure rate because of larger diameter
37
Q

What method of female sterilization has been increasing because of the decrease in ovarian cancer risk?

A

-salpingectomy: removal of the entire fallopian tube

38
Q

What is a mini laparaotomy?

A
  • most common approach for female sterilization

- infra umbilical incision in postpartum period or suprapubic incision as an interval procedure

39
Q

What is the Essure system?

A
  • hysteroscopy
  • 3.6 cm stainless steel inner coil placed into tube with aide of hysteroscope
  • must use backup method for 3 months
  • then have hysterosalpingogram (HSG) to document complete occlusion
  • good for obese patients that might not be good candidates for other methods

Repro 2 Final (18 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions