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Contraception & infertility Flashcards

(96 cards)

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1
Q

what agent would you use: BREASTFEEDING

A

progestin

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2
Q

what agent would you use: migraine with aura

A

progestin

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3
Q

what agent would you use: estrogen contraindication

A

progestin

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4
Q

what agent would you use: estrogenic side effects

A

low estrogen formulation

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5
Q

what agents have elevated clotting risk

A

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

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6
Q

what agent would you use: elevated clotting risk

A

low estrogen formulation or progestin

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7
Q

what agent would you use: avoiding monthly cycle

A

seasonique or seasonale or lybrel

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8
Q

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

A

yaz seasonique

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9
Q

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

A

sertraline fluoxetine

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10
Q

sarafem

A

fluoxetine for pmdd

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11
Q

what agent would you use: heavy menstrual bleeding

A

natazia mirena

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12
Q

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

A

monophasic

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13
Q

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

A

monophasic low estrogen

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14
Q

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

A

monophasic

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15
Q

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

A

monophasic

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16
Q

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

A

monophasic

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17
Q

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

A

monophasic

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18
Q

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

A

monophasic

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19
Q

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

A

multiphasic

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20
Q

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

A

multiphasic

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21
Q

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

A

multiphasic

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22
Q

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

A

multiphasic

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23
Q

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

A

multiphasic

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24
Q

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

A

multiphasic

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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

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