what agent would you use: BREASTFEEDING
progestin
what agent would you use: migraine with aura
progestin
what agent would you use: estrogen contraindication
progestin
what agent would you use: estrogenic side effects
low estrogen formulation
what agents have elevated clotting risk
drospirenone containing pills (yaz beyaz ocella syeda zarah safyral gianvi) ortho evra patch
what agent would you use: elevated clotting risk
low estrogen formulation or progestin
what agent would you use: avoiding monthly cycle
seasonique or seasonale or lybrel
what agent would you use: premenstrual dysphoric disorder (PMDD)
yaz seasonique
what non contraceptive agents are used to treat: premenstrual dysphoric disorder (PMDD)
sertraline fluoxetine
sarafem
fluoxetine for pmdd
what agent would you use: heavy menstrual bleeding
natazia mirena
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Apri
monophasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Kariva
monophasic low estrogen
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho Cyclen
monophasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Yasmin 28
monophasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ocella
monophasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Zarah
monophasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Syeda
monophasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Cyclessa
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Estrostep
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Neocin 10/11
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho Tri Cyclen
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Tri-Sprintec
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): TriNessa
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Trivora
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho-Novum 7/7/7
multiphasic
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Aviane
low estrogen
what type of contraception products are used to DECREASE WITHDRAWAL SYMPTOMS (EMOTIONAL/PHYSICAL) and bleeding
low estrogen
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): LoSeasonique
low estrogen extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Loestrin Fe 24
extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Seasonique
extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Seasonale
extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Natazia
extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): YAZ 24
extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Giavani
extended cycle
Yaz + folic acid
beyaz safyral
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): lybrel
extended cycle
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): camila
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): errin
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only):jolivette
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Nor-QD
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): heather
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Micronor
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Camila
progestin
what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Alesse - 28
low estrogen
if a women is complaining of nausea while on the combo patch what can you recommend
take in evening/bedtime
women with osteoporosis should avoid what injectable progestin
depo provera
what contraceptive agent causes low bone density
depo provera
what antibiotics decrease efficacy of oral contraceptives
ampicillin griseovulvin tetracyclines sulfonamides rifampin rifapentin
what anticonvulsants decrease efficacy of oral contraceptives
carbamazepine oxcarbazepine phenytoin barbiturates felbomate topiramate
what antiretroviral agents decrease efficacy of oral contraceptives
protease inhibitors
when can you take the progestin only pills
at anytime
when does protection start and how long do you use backup with: progestin only pills
protection after 48 hours use backup for first 48 hours
if its been > 3 hours since your scheduled pill what must you do when using the progestin only pills
take the late pill and use back up for 48 hours
if you miss your dose for that day when using the progestin only pill what do you do
risk of pregnancy consider emergency contraception
with combination oral contraceptives when do you start
sunday start or 1st day start
with combination oral contraceptives no back up is needed if
start within 5 days of first day of period
if you miss a pill in week ____ you are at the highest risk of pregnancy
one
when using combination oral contraceptives: if you miss 1 -2 pills in the first 2 days what do you do
take pill asap take next pill at usual time (may take 2 in a day)
when using combination oral contraceptives: if you miss 1 -2 pills on days 3 - 21 what do you do
take pill asap take next pill at usual time (may take 2 in a day)
how long is seasonale and seasonique take
3 months
do you need a 7 day back up if you miss 1 - 2 pills (at the very beginning of the pack) w/in the first 2 days
yes
do you need a 7 day back up if you miss 1 - 2 pills during days 3 - 21
no
what is the difference between seasonale and seasonique
seasonale has a placebo week seasonique has low estrogen for the placebo week
when is seasonale and seasonique started
sunday after period if period is on a sunday then start at the same time
lybrel is taken for how long
12 months no placebo week
when is lybrel started
within 24 hours of period
lybrel is usually discontinued 2/2
spotting
how long is the ortho evra patch on
3 weeks on 1 week off
if the ortho evra patch falls off for > 24 hours what do you do
back up for 1 week
if the ortho evra patch is off for > 7 days on the 4th week what do you do
back up for 1 week
ortho evra patch is less effective in what pt
> 198 lbs
ortho evra should not be give to these pt (besides those contraindicated for estrogen)
women > 35 who smoke
how long is nuvaring used
3 weeks on 1 week off
when should the nuvaring be started
between days 1 - 5 of period
if nuvaring is out for > 3 hours
rinse reinsert 7 day back up
if nuvaring is out for < 3 hours
rinse reinsert
how long can nuvaring be stored
4 months at room temperature
plan b one step contains how much levonorgestrel
1 1.5 mg tab
next choice contains how much levonorgestrel
2 0.75 mg tabs
when should levonorgestrel EC be taken
w/in 72 hours (89% efficacy)
levonorgestrel EC is OTC if
17+
levonorgestrel EC is Rx if
< 17
what serm can be used in infertility
clomiphene
serophene
clomiphene
clomid
clomiphene
clomiphene moa
increase LH/.FSH to increase ovulation
clomiphene side effects
hot flashes, thrombosis risk, nausea, blurred vision, fluid retention
if a patient takes next choice and vomits the pill within ____ they must retake that dose
2 hours
if taken within 72 hours next choice / plan b one step if ____% effective at preventing pregnancy
89%
what does emergency contraception do to a women if she takes it while pregnant
nothing
unlike levonorgestrel which ulipristal has this MOA as well
prevents implantation of the egg
patients are counselined on severe leg pain, trouble breathing, 2/2 risk of
clots
spotting should go away after patient has been on contraception for ___
2 - 3 months
a couples chances of getting pregnant each month are ___%
25
yaz + folic acid
beyaz safyral