Contraception: Sterilization, Emergency Flashcards Preview

Q4 Women's Health > Contraception: Sterilization, Emergency > Flashcards

Flashcards in Contraception: Sterilization, Emergency Deck (13):
1

Vasectomy surgically alters what?

How long till fully effective?

vas deferens

~ 1 mo
ejaculated semen exam will contain NO sperm

2

Vasectomy:

Benefits?

Risks/Disadv?

Benefits:
Low fail rate
No hormones
Permanent
Low risk procedure

Risks:
Post bleed/infect
Pain in vas or epididymis from sperm congestion

3

Tubal Ligation works how?

disrupted fallopian tube prevents fertilization

4

Tubal Ligation:

Benefits?

Risks/Disadv?

Benefits:
No lasting s/e
Permanent

Risks:
Not 100% effective
Req's anesthesia
Post bleed/infect
(P) injury to other rogans
ECTOPIC PREGNANCY

5

Tubal Obstruction: Essure is?

metal or polymer insert,
placed hysteroscopically into proximal fallo tube,
tissue grows around inplant occluding tube,
12 wks post confirmed w/ hysterosalpingogram

6

Tubal Obstruction: Essure

Benefits?

Risks/Disadv? (6)

Benefits:
No incision
Less postop pain
Ok for pts w/ pelvic adhesions

Risks:
Takes 3 mo
Imaging for confirmation
Perforation
Device expulsion
Postop pain/infection
ECTOPIC PREGNANCY

7

Tubal Obstruction: Essure

Contraindications? (5)

1) Pregnancy
2) < 6 wks post delivery
3) Active/recent pelvic infect
4) Allergy to nickel and/or contrast
5) Uterine/tubal pathology blocking access

8

Emergency Contraception: Pills action?

Inhibit/delay ovulation
Don't abort

9

Emergency Contraception: Plan B pills

Contain?

Use?

Progestin

OTC
w/i 72 hrs

10

Emergency Contraception: Ella pills

Contain?

Use?

ulipristal acetate-progesterone

Rx
up to 120 hrs

11

Emergency Contraception: Pills

Benefits?

Risks/Disadv?

Benefits:
VERY EFFECTIVE
Safe back-up birth control
Immediate return of fertility

Risks:
Don't use if actually pregnant
N/V, HA, heavier bleed

12

Emergency IUD use?

Copper (same long-term one)
Insert up to 5 days post
Remove after next period

13

Emergency IUD:

Benefits?

Risks/Disadv?

Benefits:
Very effective

Risks:
same as pills
placed by provider