contraception Flashcards Preview

sex and repro > contraception > Flashcards

Flashcards in contraception Deck (15)
Loading flashcards...
1

most common methods of contraception

sterilization (16% in women)

Oral contraception and Condoms (16%)

IUD (7%)

Withdrawal (5%)

Injectable (4%)

Vaginal Ring (2%)

Patch/Implant/Abstinence (1%)

2

most common methods of contraception internationally?

Sterilziation and IUD

3

precontraceptive eval

hx

pregnancy test

BO (for OCPs), weight, BMI

Chlamydia screening

Pap.pelvic

4

what are indications for precontraceptive eval to test for pregnancy test, chlamydia and do a pap/pelvic

pregnancy test is the woman hasn't just menstruated, no intercourse since last menses, within a week of an abortion or normal menses, within 4 weeks of giving birth, breastfeeding up to 6 mos pp

chlamydia: if younger than 25

Pap: if older than 21, pelvic exam, cervical inspection prior to IUD insertion

5

benefits of OCPs?

decrease risk of PID

decrease acne

decrease fibrocystic breast change

decrease iron deficiency anemia

increase protection against ovarian/uterine cancer




6

risks of OCPs

VTs

stroke/MI risk (smoking and htn risks for this)

there is no proven risk for increasing breast cancer risk.

7

Drugs that decrease efficacy of contraception

Rifampin

Anticonvulsants except depakote

Griseofulvin

HIV meds

8

Progestin only contraception iin

sickle cell
post partum
clotting
migraines with aura

9

what's important about the "mini pill" or progestin only pill?

can't skip a day-----will get pregnant

10

contraindications in the hormonal contraception

breast cancer

endometrial cancer

migraine and aura

clotting disorder

cirrhosis

11

iud types

copper and mirena

12

iud good for sickle cell?

mirena because copper causes more bleeding

13

what do the combination OCPs do that prevents pregnancy?

prevents the LH surge

14

what do emergency contraception do?

prevents ovulation but doesn't prevent impantation

15

transdermal patches have higher risk for?

thrombus and the efficacy is reduce if pt is obese