Contraception

Question 1

Patch

Answer 1

Buttock, lower Ab, upper outer arm
1wk monophonic dose
Decr’d efficacy >198lb

Question 2

Nuva Ring

Answer 2

Easy use vaginal ring un-noticeable

3wk monophasic dose

Question 3

Injectable Depo Provera

Answer 3

IM/SubQ injection every 3mo
Not affected by wt or other meds
Adverse Bone density affects
Can incr breast milk

Question 4

Implantable Nexplanon

Answer 4

Best contraceptive there is
Lasts 3yrs
Implant inner arm b/w biceps, triceps
Just progestin

Question 5

OCP

Answer 5

Progestin part- thickens cervical mucous, decr oviduct peristalsis, inhib ovulation
Estrogen part- inhibs FSH follicle maturation
21d + 7d placebo
Cause blood clotting probs DVT, pulmonary embolus, MI, stroke
Long term use cause amenorrhea
Caution w/ tricyclic antidepressants, anticoagulants
DO NOT give to smokers >35 y/o

Question 6

Condom

Answer 6

Latex protects against HIV

Question 7

Diaphragm

Answer 7

Latex dome cap over cervix
Use w/ spermicide
6-8hr before and after intercourse
Needs be fitted for ea patient
Can cause UTI

Question 8

Sponge

Answer 8

Pillow filled w/ spermicide placed over cervix
One size- usu for nulliparous
Toxic shock syndrome if >1d

Question 9

Spermicide

Answer 9

Max effective no longer than 1hr

Question 10

Paraguard Copper T

Answer 10

IUD Lasts 10yrs
Releases copper to interfere
Can be used as emergency contraceptive
Cannot use in ppl w/ Wilson’s Disease

Question 11

Mirena Levornogestrel

Answer 11

IUD Lasts 5yrs
Progestin- May cause amenorrhea
Can be used to treat dysfunct uterine bleed

Question 12

IUD

Answer 12

Insert during menstruation b/c cervix rly open
If pregnancy occur, usu ectopic
Incr’d chance preterm labor

Question 13

Emergency contraceptive Plan B

Answer 13

OTC high fail rate but not bad
2 Levornogestrel tablets taken 12hr apart
Use w/in 72hrs

Question 14

Vasectomy

Answer 14

Safer and cheaper since outside abdom
Cause personal image change, depression
May get Anti-sperm Ab’s

Question 15

Laparotomy

Answer 15

Electrify-burn tubes to occlude
Clips- over tube; easily rvsible 
Fallope Ring- hose kink 
Mini-Laparotomy- cut small section
Pomeroy Method- kink tie-off w/ absorbable suture

Question 16

Hysteroscopy “Essure”

Answer 16

Titanium spring w/ Dacron thread
Immune rxn causes walling off of tube
Pretreat w/ Depo Provera injection
Great for obese patients