Flashcards in Contraception Deck (64)
T/F: The rate of unintended pregnancy is 5-fold lower for women below poverty level, and continues to increase.
Its 5-fold higher
T/F: The health risks of pregnancy are greater than those of ANY contraceptive method.
Put these three things in order of contraceptive effectiveness.....
Mirena (IUD) > Depo-Provera > Condoms
What is the primary purpose of contraception?
T/F: Contraception failure rates differ between ideal use and actual use
What are examples of barrier contraceptive methods?
Condoms (Female, Male)
What is a non-contraceptive benefit to barrier methods?
What is a drawback to using a natural membrane male condom?
May allow the passage of viruses (ie: HPV)
T/F: A diaphragm for contraceptive use requires a prescription
What are THREE important things to remember when using a diaphragm for contraception?
2. Place 2 hours before intercourse
3. Leave in for 6 hours after intercourse
Diaphragm are associated with an increased risk of what?
What are the two main component of combination contraceptives?
Depo-Provera is ________ (estrogen/progestin) only
What are THREE actions of combination (estrogen-progestin) contraceptives?
1. Suppress ovulation
2. Thin the endometrium
3. Thicken cervical mucus
Does Progestin or Estrogen carry the most risk in combination OCPs?
What are examples of these?
T/F: OCs are associated with an overall increase in cancer risk
They are NOT
What are contraindications to OCP use?
Smoker over age 35
History of stroke or ischemic heart disease
History of VTE
Migraine with aura
What are common side effects of OCPs?
Which is most common?
Breakthrough bleeding- (Most common)
Why is breakthrough bleeding the most common side effect of OCPs?
Due to the thinning effect it has on the endometrium
What are the MANY non-contraceptive benefits to OCPs?
Decreased menstrual bleeding
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
What are four recommended screenings that should be completed before starting OCPs?
Why should you take the first OCP on Sunday?
To avoid menses on the weekend
T/F: You do not have to r/o pregnancy prior to starting OCPs
You do need to rule it out
What is the most common reason women stop using OCPs?
What types of medications interact with OCPs?
T/F: Women over age 35 who smoke should not take combination OCs
T/F: Healthy women who do not smoke can continue combination OCs through menopause
How often is the transdermal patch changed?
T/F: There is NOT an associated increased DVT risk with the transdermal patch