Contraception & infertility Flashcards Preview

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Flashcards in Contraception & infertility Deck (96):
1

what agent would you use: BREASTFEEDING

progestin

2

what agent would you use: migraine with aura

progestin

3

what agent would you use: estrogen contraindication

progestin

4

what agent would you use: estrogenic side effects

low estrogen formulation

5

what agents have elevated clotting risk

drospirenone containing pills (yaz beyaz ocella syeda zarah safyral gianvi) ortho evra patch

6

what agent would you use: elevated clotting risk

low estrogen formulation or progestin

7

what agent would you use: avoiding monthly cycle

seasonique or seasonale or lybrel

8

what agent would you use: premenstrual dysphoric disorder (PMDD)

yaz seasonique

9

what non contraceptive agents are used to treat: premenstrual dysphoric disorder (PMDD)

sertraline fluoxetine

10

sarafem

fluoxetine for pmdd

11

what agent would you use: heavy menstrual bleeding

natazia mirena

12

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Apri

monophasic

13

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Kariva

monophasic low estrogen

14

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho Cyclen

monophasic

15

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Yasmin 28

monophasic

16

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ocella

monophasic

17

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Zarah

monophasic

18

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Syeda

monophasic

19

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Cyclessa

multiphasic

20

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Estrostep

multiphasic

21

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Neocin 10/11

multiphasic

22

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho Tri Cyclen

multiphasic

23

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Tri-Sprintec

multiphasic

24

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): TriNessa

multiphasic

25

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Trivora

multiphasic

26

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Ortho-Novum 7/7/7

multiphasic

27

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Aviane

low estrogen

28

what type of contraception products are used to DECREASE WITHDRAWAL SYMPTOMS (EMOTIONAL/PHYSICAL) and bleeding

low estrogen

29

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): LoSeasonique

low estrogen extended cycle

30

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Loestrin Fe 24

extended cycle

31

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Seasonique

extended cycle

32

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Seasonale

extended cycle

33

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Natazia

extended cycle

34

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): YAZ 24

extended cycle

35

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Giavani

extended cycle

36

Yaz + folic acid

beyaz safyral

37

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): lybrel

extended cycle

38

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): camila

progestin

39

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): errin

progestin

40

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only):jolivette

progestin

41

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Nor-QD

progestin

42

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): heather

progestin

43

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Micronor

progestin

44

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Camila

progestin

45

what type of contraception is it (monophasic, multiphasic, low estrogen, extended cycle, or progestin only): Alesse - 28

low estrogen

46

if a women is complaining of nausea while on the combo patch what can you recommend

take in evening/bedtime

47

women with osteoporosis should avoid what injectable progestin

depo provera

48

what contraceptive agent causes low bone density

depo provera

49

what antibiotics decrease efficacy of oral contraceptives

ampicillin griseovulvin tetracyclines sulfonamides rifampin rifapentin

50

what anticonvulsants decrease efficacy of oral contraceptives

carbamazepine oxcarbazepine phenytoin barbiturates felbomate topiramate

51

what antiretroviral agents decrease efficacy of oral contraceptives

protease inhibitors

52

when can you take the progestin only pills

at anytime

53

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

54

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

55

if you miss your dose for that day when using the progestin only pill what do you do

risk of pregnancy consider emergency contraception

56

with combination oral contraceptives when do you start

sunday start or 1st day start

57

with combination oral contraceptives no back up is needed if

start within 5 days of first day of period

58

if you miss a pill in week ____ you are at the highest risk of pregnancy

one

59

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)

60

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)

61

how long is seasonale and seasonique take

3 months

62

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

63

do you need a 7 day back up if you miss 1 - 2 pills during days 3 - 21

no

64

what is the difference between seasonale and seasonique

seasonale has a placebo week seasonique has low estrogen for the placebo week

65

when is seasonale and seasonique started

sunday after period if period is on a sunday then start at the same time

66

lybrel is taken for how long

12 months no placebo week

67

when is lybrel started

within 24 hours of period

68

lybrel is usually discontinued 2/2

spotting

69

how long is the ortho evra patch on

3 weeks on 1 week off

70

if the ortho evra patch falls off for > 24 hours what do you do

back up for 1 week

71

if the ortho evra patch is off for > 7 days on the 4th week what do you do

back up for 1 week

72

ortho evra patch is less effective in what pt

> 198 lbs

73

ortho evra should not be give to these pt (besides those contraindicated for estrogen)

women > 35 who smoke

74

how long is nuvaring used

3 weeks on 1 week off

75

when should the nuvaring be started

between days 1 - 5 of period

76

if nuvaring is out for > 3 hours

rinse reinsert 7 day back up

77

if nuvaring is out for < 3 hours

rinse reinsert

78

how long can nuvaring be stored

4 months at room temperature

79

plan b one step contains how much levonorgestrel

1 1.5 mg tab

80

next choice contains how much levonorgestrel

2 0.75 mg tabs

81

when should levonorgestrel EC be taken

w/in 72 hours (89% efficacy)

82

levonorgestrel EC is OTC if

17+

83

levonorgestrel EC is Rx if

< 17

84

what serm can be used in infertility

clomiphene

85

serophene

clomiphene

86

clomid

clomiphene

87

clomiphene moa

increase LH/.FSH to increase ovulation

88

clomiphene side effects

hot flashes, thrombosis risk, nausea, blurred vision, fluid retention

89

if a patient takes next choice and vomits the pill within ____ they must retake that dose

2 hours

90

if taken within 72 hours next choice / plan b one step if ____% effective at preventing pregnancy

89%

91

what does emergency contraception do to a women if she takes it while pregnant

nothing

92

unlike levonorgestrel which ulipristal has this MOA as well

prevents implantation of the egg

93

patients are counselined on severe leg pain, trouble breathing, 2/2 risk of

clots

94

spotting should go away after patient has been on contraception for ___

2 - 3 months

95

a couples chances of getting pregnant each month are ___%

25

96

yaz + folic acid

beyaz safyral