Contraception Trigger Flashcards
what are the possioble estrogen types found in COC’s
- ethanyl estradiol (MC)
- mestranol
- 17b-estradiol
- estradiol valerate
what are the possible progestins found in COC’s
- norethindrone
- levonorgestrel
- desogestrel
- norgestimate
- drosperinone
this progestin ingredient has less androgenic effects but a higher VTE risk.
what is it? what class is it?
drospirenone
spironolactone analogue
if a patient calls your office and says she has missed 3 doses of her COC’s, how long should you tell her to use barrier contraceptive techniques for? what other advice should you give?
7 days.
if you have had sex in the past 5 days you need to use an emergency contraception
a patient misses one dose of her low-dose monophasic COC’s. what do you tell her to do?
double the dose the next day and use barrier contraception for 7 days.
if you have had sex in the past 5 days you need to use an emergency contraception
a patient misses a single dose of her high dose monophasic COC’s. what do you tell her to do
continue taking the pills as prescribed, no need to double the next dose. conception is unlikely
What are the benefits of using COCs? (8)
- Reduced ovarian cx
- Reduced endometrial cx
- Improved bone mass
- Decreased progression of RA
- Improves acne
- Lower risk of ectopic + PID
- Decreased risk of benign fibrocystic breast dz
- Improvement in dysmenorrhea and premenstrual s/s
i know ima forget these and jensens gonna be like “all of the following except!!!!”
what contraception has high rates of irregular bleeding and increases overall bleeding rate
POCs
which contraception is CI in hepatic neoplasms, active liver dz, breast cx and unexplained vaginal bleeding
POC’s
i would assume COC’s as well, but POC’s specify hepatic neoplasms lol
COCs containing levonorgestrel are known as what for emergency contraceptions
the Yuzpe method
100mcg ethinyl estradiol + 500-600mcg levono
what is it and how is it taken
Yuzpe method (COCs containing levonorgestrel)
2 doses 12 hrs apart.
Main SE of this is nausea and vomiting. its recommended to premedicate for this SE.
what med and dose
Yuzpe method
100mcg ethinyl estradiol + 500-600mcg levono
2 doses 12 hrs apart
What is the Plan B one step AKA? what is the dose?
Aftera
levonorgestrel
2 options:
1500 x 1
750 x 2
which emergency contraceptives prevent the LH surge
levonorgestrel and ulipristal
these DO NOT stop fertilization or implantation
single dose of 1500ug or double of 750ug
levonorgestrel
single dose of 30mg
ulipristal
SE include liver dz, cervical cx, breast cx, and clots
COC’s
which emergency contraceptions inhibit implantation or possibly interfere with sperm function
copper IUD
Levonorgestrel IUD 52mg
if a patient reports she had unprotected. sex 4 days ago but missed her doses of birth control over the past 2 days, what are her options for emergency contraception
copper IUD (5-7 days)
Levonorgestrel IUD (5 days)
which contraceptive method decreases risk of ectopic, PID, and benign fibrocystic breast disease?
COCs
what are the types of transdermal contraceptives? which has a BMI limitation
- orthoevra
- xulane
- zafemy
- twirla (BMI limitation of 30)
a patient presents to you and says she realized her transdermal contraceptive fell off while she was sleeping, but she reapplied it when she woke up. what should you tell her
that she does not need to use a backup method of contraception. she only needs a backup method for a week if it was off for greater than 24hrs.
this contraception method has more dysmenorrhea and breast symptoms than others. it also has the possibility of increased VTE and higher failure rate in obese patients.
transdermal patches
this contraception is given Q 3 months
depot medroxyprogesterone shot
