Contraceptive

Question 1

Hormones in birth control

Answer 1

Estrogen +Progestin

Progestin only

Question 2

Type of hormonal contraceptive

Answer 2

Oral tablets
Skin patch 
Injection 
Implant 
Vaginal ring 
Intrauterine device IUD

Question 3

Two types of oral contraceptive

Answer 3

Combined 
Progestin only ( minipill)

Question 4

Concentration of hormones in combination birth control

Answer 4

Œstrogen - ethinyloestradiol (EE) 20-35micrograms

Progestins ( progestogen ) - 19 - nortestosterone

Question 5

MOA combination birth control

Answer 5

Œstrogen - Inhibits FSH for suppression of follicle growth

Progestin - Prevents ovulation

Scanty and viscous mucus which inhibits sperm transport

Atrophic , unreceptive endometrium

Question 6

Effectiveness of combination birth control pill

Answer 6

92-99%

Question 7

When should you start taking oral pill

Answer 7

Within first 7 seven days of menses

Question 8

Can you start combination therapy anytime as long as pregnancy is excluded

Answer 8

Yes

Question 9

How many days should you drink active pill

Answer 9

21 days

Question 10

Number of pill to take each day

Answer 10

1

Question 11

Menstrual and diseases advantages of birth control pill

Answer 11

Decreased blood loss, anemia, menstrual cramps
Decreased ovulation pain
Deceased PCOS symptoms
Decreased endometriosis symptoms
Decreased risk endometrial carcinoma
Decreased risk ovarian cancer
Decreased risk of corpus Luteal cyst and colorectal carcinoma

Question 12

Sexual psychological Advatanges of birth control

Answer 12

No interruption during intercourse

Pleasurable intercourse due to less risk of pregnancy

Question 13

Menstrual disadvantages of birth control

Answer 13

Spotting 
Scant, missed periods
Amenorrhea post pill 
Decreased libido 
Mood changes
Depression
Anxiety 
Fatigue 
Stressful daily pill taking

Question 14

Sexual / psychological disadvantages of pill

Answer 14

Decreased libido 
Mood changes
Depression
Anxiety
Fatigue 
Stress

Question 15

Other Disadvantages of pill

Answer 15

No sti hiv protection 
Breast tenderness 
Breast pain 
Headaches 
Increased varicosities

Question 16

Absolute contraindications of birth control pill

Answer 16

Previous thromboembolic event 
Previous stroke 
History estrogen dependent tumor 
Active liver disease 
Pregnancy 
Abnormal uterine bleeding 
Valvular heart disease in women over 35yo who smoke

Question 17

Relative contraindications of brith contro

Answer 17

Poorly controlled hypertension
Anticonvulsants drug therapy
Migraine and headaches

Question 18

Do you need backup contraception if missed pill

Answer 18

Yes

Question 19

How long should you use backup if missed 2 active hormonal pills

Answer 19

7 days

Question 20

Direct side effects of birth control pill

Answer 20

Bloating 
Nausea
Breast tenderness
Mood changes
Weight gain 
Bleeding 
Amenorrhea

Question 21

Who has higher failure rate and higher breakthrough bleeding
COC or progestin only

Answer 21

Progestin only

Question 22

Is there a pill free interval in progestin only

Answer 22

No

Question 23

Composition of combined injectable contraception

Answer 23

50mg norethisterone enantate

50mg estradiol valerate

Question 24

Progestin only injectable types

Answer 24

Depot medroxyprogesterone acetate (DMPA)
Norethisterone enanthate (NET-EN) - noristerat

Question 25

Progestin only injectable reduce risk of endometrial cancer and volume of menstrual bleeding T or F

Answer 25

True

Question 26

Interval of injection of combined contraception

Answer 26

4 weeks

Question 27

Effectiveness of combined injectable contraception

Answer 27

99.6%

Question 28

Type of administration of DMPA

Answer 28

IM

Question 29

Effectiveness of progestin only injectable

Answer 29

99.7%

Question 30

Women that should consider DMPA

Answer 30

Estrogen is contraindicated SS anemia Fibroids Older women who smoke

Question 31

Side effects of DMPA

Answer 31

``` Menstrual changes Menstrual irregularities Gradual weight gain Mood changes Headache ```

Question 32

Compound released form contraceptive implant

Answer 32

Progestin

Question 33

Types of contraceptive implants

Answer 33

Jadelle - 5 years efficacy - 75mg levonorgestrel /rod (2 rods) Implanon - 3 years efficacy - 68mg progestin etonogestrel

Question 34

Effectiveness contraceptive implant

Answer 34

99%

Question 35

Side effect implant

Answer 35

Like for progestins Infection, pain at incision site Amenorrhea

Question 36

What are intrauterine device used for

Answer 36

Prevent pregnancy

Question 37

New compounds found in modern IUD

Answer 37

Copper | Progestin

Question 38

Are modern IUD safe, effective, private and long acting >?

Answer 38

Yes

Question 39

Benefits of IUD

Answer 39

``` Allow for niiiice sex Non contraceptive health benefits No estrogen good for some women Non surgical alternative to surgical sterilization Cost effective ```

Question 40

MOA IUD

Answer 40

``` Prevent fertilization Sterile inflammatory rxn -> toxic to sperm and ova -> impairs implantation Inhibition of sperm motility Reduced sperm capacitation Increased spern phagocytosis s ```

Question 41

Three types of modern IUD

Answer 41

Copper iud Progestin releasing IUD Unmediated IUD

Question 42

Benefits of levonorgestrel IUC

Answer 42

``` Decreased dysmenorrhea Decreased menstrual bleeding Endometrial hyperplasia and cancer treatment PID protection Endometriosis treatment ```

Question 43

What do you find in un medicated IUDS

Answer 43

Inert materials like stainless steel , plastic

Question 44

Advantage of inert IUD

Answer 44

Never need to be replaced

Question 45

Contraindications do IUD

Answer 45

Suspected pregnancy | Active pelvic infection

Question 46

IUD postpartum placed how long after delivery

Answer 46

48h

Question 47

Podisadvantages of postpartum IUD

Answer 47

Expulsion rate high Requires education of women about expulsion Missing strings recurrent Careful monitoring

Question 48

Contraindications of IUD

Answer 48

``` Active STI STD High risk for STDs Recurrent PID Prolonged ROM Abdominal infection, pelvic infection Intrapartum , postpartum hemorrhage after emptying of uterus ```