Contraception Flashcards

Question

# OCPs **Con's**

Answer 1

Requires yearly medical exams Requires daily compliance Does not protect from STI's when used alone Cost-may be partially covered by insurance ( $5-10/month)

Answer 2

**Hormonal Method** Take within 120 hours (3-5 dys) of unprotected sex * No contraception * Contraceptive failure * Sexual assault Two main types * Ella (ulipristal acetate) Need prescription * Plan B (Levonorgestrel) Over the counter, best if taken w/in 72 hrs of unprotected sex but can take up to 5dys ## Footnote The closer to intercourse the better

Answer 3

**Prevents** preg by: * Inhibting ovulation * Altering the endometrial lining * Thickening cervical mucus Does **not** cause an abortion Will **not** disrupt an implanted preg No major contraindication | don't use every month or daily ## Footnote EC may postpone ovulation Side Effects: * N/V (must take it w/ food), generally offered anti-emetic (tigan), **Avoid Alcohol**

Answer 4

Post-coital contrac. Does not req partner no Med exam Few contraindication May become OTC

Answer 5

Efficacy time dependent **No protection from STIs** May be costly Side effects include N/V Some pharmacies do not provide **Mistaken for RU-486**(Mifepristone- blocks projesterone) Misinformation among healthcare providers

Answer 6

**Hormonal method ** **Injectable contraceptive** * Depo-Provera Medroxyprogesterone Acetate (DMPA) * 150 mg progest IM Q3 mos * Self Admin subq available * Inhibts ovulation and alters cervical mucus **Good choice for women who**: * **Are unable to take estrogen** * Need to conceal contraceptive use * Would benefit from freq visits to healthcare provider **Poor choice for women who**: *** Have history of depression** * Desire preg in < 1yr ( slow return to fertility) * Can't follow up with HCP Q3 mos * ***At high risk for STI's*** * **Have poor bone density** | Efficacy 98-99.5%, weight gain 7-8lbs ## Footnote no more than 2yrs of taking it,

Answer 7

Preg **Liver disease** Caution in women w/ history of **Depression** People who have not tolerated progesterone well in the past **Osteoporosis**

Answer 8

Altered menses * Irreg cycle (freq BTB first 3 months) (Amenorrhea) Weight GAIN Depression Osteoporosis Vag Dryness Hair loss

Answer 9

**Hormonal** Method Most commonly used method of contraceptive WW IUD inserted into uterus * **Copper IUD**: replaced **q 10yrs** * **Mirena**: replaced **q 5yrs** **Creates foreign body inflammation reaction that prevents implantation** * **Good for parous women w/ low STI risk** and **no history of dsymenorrhea** * **Contraindicated if risk of STIs/ PID**; history of endocarditis | no inreased risk for TSS

Answer 10

Female controlled Local not systemic Easily concealed No compliance issues past insertion Effective for 1-10yrs 98-99%

Answer 11

Req medical exam Insert related risk * Expulsion * Infection Altered Menses Cramps common Increased risk of ectopic Preg No protection from STIs Initial cost expensive

Answer 12

**Hormonal method** (Nexplanon) A small, thin, flexible rod inserted under the skin of woman's upper arm Invisible; **prevent preg for up to 3-5 yrs** Release **progestin**; prevents preg in two ways * Thicken the mucus of the cervix, which stops sperm form swimmin through to the eggs * Stops ovuloation, so theres no egg to fertilize 99% ## Footnote Can cause a keloid, or pt who BMI is higher than 35, or full selve tattoos

Answer 13

**Hormonal Method** Sustained release transdermal contrac. * Estrogen/progesterone Available in US in 2002 * Patch placed on skin * Lower abdomen, upper outer arm, upper toro, or buttock Very effective (< 1% failure rate) New patch eq 3 wks * patch changed same day each week * One week without patch * May continue ADL's while using Similar side effects and contrain as combined OCPs May cause applications site reactions

Answer 14

**Small, flexible ring worn in the vag** Contains **estrogen and progestin** which **inhibits ovulations** **Diff schedules (w/ or w/o periods)** * Wear ring for 3 wks (21dy), 4 wk (28dy), or 5 wk (35dys), take out for the next week (7dys), get period; after 7 free-ring days, put in new ring * Keep ring in at all times, changing it for new one q 3-5wks, and skip periods | it increases vag discharged

Answer 15

Common form of contraception Freq performed after birth (PPS) * Abd surgery (tubes sent to pathology) * Very low failure rate: efficacy (99.6%) * No adherence requirement * No protection from STIs

Answer 16

Female controlled Permanent form of contraception May be performed with c/s

Answer 17

Major surgery Expensive Scar visible Reversal diffcult and associated w/ ectopic preg No protection from STIs Altered menses Assoicated in some countires /populations with ethnic cleansing

Answer 18

Low failure rate * 99.8% No adherence req Performed on outpatient basis Risk of post-op infection | cuts the vas defen

Answer 19

Minor surgery Recovery time min

Answer 20

Partner compliance * Machismo (manly) * Fear Requires trust in partner No protection in STIs

Answer 21

Periodic abstinence during the time of cycle when preg is most likely to occur ovulation ## Footnote taking temp ( basal body temp), Cervical mucus chart, Mar pain ?

Answer 22

DRY Phase: (not fertile) 1-3 after period (dry) Sticky Phase ( not fertile) 4-6 (white, cloudy, small sticky) Creamy Phase (semi fertile) 7-9 (cream, cloudy, thick) Clear Phase ( fertile) 10-14 (egg white)

Contraception Flashcards

(46 cards)