Combination Hormonal Contraceptives

Question 1

Contraceptive patch changed weekly for 3 weeks, followed by 1 week without the patch. it is less effecitve in women weighing more than ___kg.

Answer 1

90kg

Question 2

If the application of the patch is skipped for more than 1 day, then what?

Answer 2

backup method should be used for 7 days after a new patch is applied

Question 3

Medroxyprogesterone Acetate (Depo Provera) how is it used?

Answer 3

injected intramuscularly or subcutaneously every 12 weeks. failure rate over 1 year of use is 3%

Question 4

What is the failure rate for combined oral contraceptives, the minipill, or the birth control patch or ring?

Answer 4

8%

Question 5

Medroxyprogesterone acetate suppresses what?

Answer 5

ovarian prodution of estradiol. thus, there is a concern that women using medroxyprogesterone acetate might increase their future risk of developing osteoporosis.

Question 6

in 2004 FDA added a blackbox warming to medroxyprogesterone acetate regarding loss of bone mineral density, indicating that use of the product for contraception should be continued for more than __ years only if other contraceptive methods are inadequate.

Answer 6

2 years

Question 7

two cross-sectional studies found that years after women discontinue use of medroxyprogesterone acetate, their bone mineral density was similar to that of individuals who had never taken it. therefore…

Answer 7

skeletal health concerns should not restrict the use of medroxyprogesterone acetate in adult women. Regardless of age, short or long term use of depo provera should not be considered an indication for dual energy x-ray absorptiometry or other tests that assess bone mineral density.