Contraception

Question 1

Most common contraceptives?

Answer 1

oral and condoms

Question 2

Contraceptive Most effective to least effective?

Answer 2

1) BTL / Vasectomy
2) Copper IUD
3) Hormonal IUD
4) Progestin Implant (actually most effective with every day use?)
5) Progestin injection
6) Ring
7) Patch
8) OCP
9) Barrierm NFP, EC

Question 3

How do estrogen conraceptives work (3)?

Answer 3

1) Ovulation inhibited because E suppresses FSH and LH, preventing pit gland to release ovary stimulating hormone.
2) Endometrial secretions/cellular structure altered
3) Altered levels of prostaglandins = degeneration of CL

Question 4

How do progesterone contraceptives work?

Answer 4

1) Ovulation is inhibited by supression of midpeak LH and FSH
2) Thickened cervical mucus (poor lil sperm)
3) Activity of cilia of F tubes is reduced
4) Endometruim becomes atrophic

Question 5

What’s LARC ?

Answer 5

Long Acting Reversable Contraceptives : IUDs and maybe implant?

Question 6

What is LAM?

Answer 6

Lactation Amenorrhea Method

Question 7

What are the criteria for LAM?

Answer 7

1) Less than 6 mo pp
2) no menstruation
3) fully bf (at least 4 hours in day and 6 hours at night)

Question 8

Highest failure rate contraceptive IRL?

Answer 8

Withdrawl

Question 9

Most effective with every day use?

Answer 9

Implant

Question 10

how do LNG-IUDs prevent pregnancy?

Answer 10

1) Thickens cervical mucus - harder for sperm to get to egg and survive

2) Suppresses formation of endometrium which is essential for development of implanting

3) In about 50 % of the population stops/suppresses ovulation

4) Inhibits sperm function