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Reproductive Medicine Exam 2 > Contraception > Flashcards

Flashcards in Contraception Deck (64)
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1

T/F: The rate of unintended pregnancy is 5-fold lower for women below poverty level, and continues to increase.

False

Its 5-fold higher

2

T/F: The health risks of pregnancy are greater than those of ANY contraceptive method.

True

3

Put these three things in order of contraceptive effectiveness.....

Depo-Provera
Condoms
Mirena (IUD)

Mirena (IUD) > Depo-Provera > Condoms

4

What is the primary purpose of contraception?

Preventing Pregnancy

5

T/F: Contraception failure rates differ between ideal use and actual use

True

6

What are examples of barrier contraceptive methods?

Diaphragm
Cervical Cap
Condoms (Female, Male)

7

What is a non-contraceptive benefit to barrier methods?

STI Protection

8

What is a drawback to using a natural membrane male condom?

May allow the passage of viruses (ie: HPV)

9

T/F: A diaphragm for contraceptive use requires a prescription

True

10

What are THREE important things to remember when using a diaphragm for contraception?

1. Spermicide
2. Place 2 hours before intercourse
3. Leave in for 6 hours after intercourse

11

Diaphragm are associated with an increased risk of what?

UTI

12

What are the two main component of combination contraceptives?

Estrogen
Progestin

13

Depo-Provera is ________ (estrogen/progestin) only

Progestin

14

What are THREE actions of combination (estrogen-progestin) contraceptives?

1. Suppress ovulation
2. Thin the endometrium
3. Thicken cervical mucus

15

Does Progestin or Estrogen carry the most risk in combination OCPs?

What are examples of these?

Estrogen

Examples....

MI
CVA
HTN
DVT

16

T/F: OCs are associated with an overall increase in cancer risk

False

They are NOT

17

What are contraindications to OCP use?

Smoker over age 35
Uncontrolled hypertension
History of stroke or ischemic heart disease
History of VTE
Inherited thrombophilia
Lupus (SLE)
Migraine with aura
Breast cancer
Cirrhosis
Liver tumor

18

What are common side effects of OCPs?

Which is most common?

Breakthrough bleeding- (Most common)
Amenorrhea
Bloating
Nausea
Breast tenderness
Weight gain
Headache

19

Why is breakthrough bleeding the most common side effect of OCPs?

Due to the thinning effect it has on the endometrium

20

What are the MANY non-contraceptive benefits to OCPs?

Decreased menstrual bleeding
Decreased dysmenorrhea
Improvement of PMS symptoms (extended cycle)
Prevention of menstrual migraine (extended cycle)
Decreased incidence of ovarian cysts
Decreased benign breast disease
Improvement of acne
Control of hirsutism
Management of uterine leiomyomata (fibroids)
Suppression of endometriosis
Decreased cancer risk: endometrium, ovary, colon

21

What are four recommended screenings that should be completed before starting OCPs?

Pelvic Exam
Pap Smear
STD Check
Measure BP

22

Why should you take the first OCP on Sunday?

To avoid menses on the weekend

23

T/F: You do not have to r/o pregnancy prior to starting OCPs

False

You do need to rule it out

24

What is the most common reason women stop using OCPs?

Unscheduled Bleeding

25

What types of medications interact with OCPs?

Anticonvulsants
Rifampin

26

T/F: Women over age 35 who smoke should not take combination OCs

True

27

T/F: Healthy women who do not smoke can continue combination OCs through menopause

True

28

How often is the transdermal patch changed?

Weekly

29

T/F: There is NOT an associated increased DVT risk with the transdermal patch

False

There is

30

How often is the Nuvaring changed?

Monthly