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DMST 315 OBGYN 3 > Contraception > Flashcards

Contraception Flashcards

(55 cards)

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1
Q

What does oral contraceptives contain?

A

Progesterone and estrogen

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2
Q

What does oral contraception do?

A

Makes ovulation not occur

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3
Q

What happens with oral contraceptives? 2

A
  1. Cervical mucus thickens so sperm cannot pass through the CX
  2. Changes occur in the uterine lining as well
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4
Q

What does the minipill contain?

A

Progesterone only

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5
Q

What might happen with the mini pill? What does the minipill do?

A
  1. Ovulation may occur
  2. Mini pill causes the cervical mucus to thickens thus not allowing sperm to pass through the cervix
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6
Q

What does this look like?

A

Endometrium with BCP

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7
Q

What does the birth control patch contain?

A

Estrogen and progestin

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8
Q

How does the birth control patch work?

A

Hormones are absorbed through the skin

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9
Q

What does the birth control pill do? 4

A
  1. Ovulation is prevented
  2. Cervical mucus thickens
  3. Sperm cannot pass through CX
  4. Changes endometrium lining
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10
Q

What is some injections that can be taken for birth control?

A

Depo provera

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11
Q

What does depo provera contain?

A

Progestin

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12
Q

How long does each shot of depo provera last?

A

12 weeks or 3 months

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13
Q

What does depo provera do? 2

A
  1. Prevents ovulation
  2. Thickened cervical mucus
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14
Q

Who can use depo provera? 3

A

Women who
1. Smoke
2. Over 35
3. Are breastfeeding

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15
Q

What may depo provera do?

A

May improve symptoms of endometriosis

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16
Q

What is the Nuva ring?

A

Contraceptive ring that is placed in the vagina, that needs to be replaced every month.

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17
Q

How does the nuva ring work?

A

Hormones are absorbed into the body

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18
Q

What is secreted by Nuva?

A

Estrogen and progesterone

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19
Q

What does the Nuva do to a womens body?

A
  1. Ovulation does not occur
  2. Thickens cervical mucus
  3. Uterine lining is also altered
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20
Q

Can the Nuva ring be seen on ultrasound?

A

Yes

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21
Q

When can the emergency contraceptive pill be used?

A

Up to 5 days after unprotected intercourse

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22
Q

When is plan B used?

A
  1. One pill right away, second pill 12 hours later.
  2. Or both pills at the same time
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23
Q

What does emergency contraceptive pills contain?

Study These Flashcards
A

High dosages of estrogen and progestin

24
Q

What does emergency contraceptive pills do to a women’s body?

Study These Flashcards
A
  1. Uterine lining is changed so implantation will not occur
  2. Vaginal mucus will change as well
25
What Are IUCDs usually made of?
Copper of plastic
26
What does IUCDs do?
Prevents implantation
27
What are two commonly used IUCDs?
1. Mirena 2. Copper T IUD
28
What does the mirena look like?
Small soft T shaped
29
What does the Mirena secrete?
Progestin
30
How is a Mirena inserted?
Into the uterus by a physician
31
How long can a mirena be left in for?
Up to 5 years
32
How effective is Mirena?
99.9% effective
33
What does Mirena do to the female body?
1. Thickens cervical mucus 2. May prevent ovulation
34
What is the copper T made of?
Small soft T shaped plastic coated with a copper wire
35
How long can the copper T be left in for?
5 years
36
How effective is the Copper T?
99.2-99.4%
37
What does the copper T do to prevent pregnancy? 2
1. Changes endometrium so implantation does not occur 2. Vaginal mucus is thickened
38
What can ultrasound do for IUCDs?
Check position/ presence via intrauterine
39
What is the sonographic appearance of IUCDs? 3
1. Hyperechoic echoes in endometrium 2. Comet tail artifact 3. Posterior shadowing
40
A mirena can be difficult to visualize when?
The bladder is full with the transabdominal approach. We can try post void method.
41
Why does the post void method work for visualizing the mirena?
The uterus regains an anteversion position thus placing the uterus in a coronal plane when scanning in the transverse plane
42
What are some complications with IUCDs? 5
1. Expulsion into the abdominal cavity 2. Improper location 3. PID (infertility) 4. Ectopic pregnancy 5. Pregnancy with an IUCD resulting in complications
43
What is the chinese ring?
Stainless steel IUCD widely used in China for the last 20 years
44
What does the Chinese ring look like? 2
1. About an inch in diameter, very springy and flexible 2. Does not have a thread attach to it because it was not meant to be removed easily.
45
What was the Chinese ring used for?
One child family concept
46
What does this image demonstrate?
The Chinese ring
47
With a pregnancy with IUCD what are some complications? 3
1. 40% spontaneously abort, due to rupture of membranes or infection 2. 1/20 pregnancies are ectopic 3. Increased risk of preterm delivery with attempted risk of IUCD
48
When might we see IUCD during gestation?
<12 weeks
49
What are some examples of barrier contraceptions? 5
1. Female condoms 2. Male condoms 3. Sponge with spermicide 4. Cervical caps 5. Diaphragms
50
What is a female surgical method for contraception?
Tubal ligation
51
How long does tubal ligation last?
Permanent
52
What does tubal ligation include? 3
1. Ligating 2. Cauterizing 3. Stapes
53
In some cases what is inserted into the fallopian tubes in terms of tubal ligation?
Coils
54
What is a vasectomy? 3
1. Permanent male sterilization 2. Ligation of the vas deferens 3. Ejaculation without sperm
55

DMST 315 OBGYN 3 (21 decks)

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