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REPRO II Exam 2 > Dunn OB/GYN IX > Flashcards

Dunn OB/GYN IX Flashcards

1
Q

ibuprofen

A

decreases bleeding

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2
Q

in CO

A

can treat any age for contraception or STI treatment

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3
Q

54% of women having abortions

A

report using contraception in month they became pregnant

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4
Q

unintended pregnancy

A

10% women per year

age 18-24yo

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5
Q

LARC

A

long acting reversible contraception

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6
Q

etonogestrel implant

A

rod of ethylene vinyl acetate copolypmer

68mg of etonogestrel
-progesterone only**

effective 3 years

implanon

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7
Q

bleeding pattern with implant

A

total number of bleeding/spotting days decreased

irregular and unpredictable bleeding**

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8
Q

to stop unscheduled bleeding

A

NSAIDS

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9
Q

adverse of implantable

A

acne

weight gain

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10
Q

implantable in obese

A

no contraindication

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11
Q

implanon and bone

A

does not change bone density

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12
Q

most common reason to discontinue implantable

A

bleeding irregularity

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13
Q

migraines

A

discontinue implantable

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14
Q

contraindications for implantable

A

SLE - anti-phospholipid Abs

hepatocellular adenoma

migraines with aura

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15
Q

intrauterine contraception

A

copper IUD - paragard

levonorgestrel - mirena

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16
Q

paragard

A

copper IUD
-no hormones

get heavy periods

10 year use

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17
Q

mirena

A

levonorgestrel
-local progesterone**

5 year use

light irregular periods

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18
Q

hormonal contraception

A

take a while to get fertile again

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19
Q

IUD

A

fertile again right a way

20
Q

copper IUD

A

mass effect
-alters uterine and tubal fluid

inhibits fertilization

not abortifacient**

21
Q

progestin IUD

A

impairs spermatozoa motility and function

not an abortifacient

thick cervical mucus

atrophy of endometrium

22
Q

underdeveloped country contraception

A

IUD

23
Q

efficacy of IUD

A

> 99%

24
Q

risks for IUD

A

younger - difficulty to get in

higher expulsions in adolescents

25
Q

copper IUD problem

A

increased menstrual flow

increased cramping

give NSAID

26
Q

dakon shield

A

old IUD - terrible

gave IUDs a bad rap

27
Q

infertility and IUD

A

does not cause it

28
Q

contraindication of IUD

A

current PID or within past 3 months

risk for gonorrhea/chlamydia - screen before put IUD in

29
Q

depo provera

A

progesterone
shot every 3 months

thick cervical mucus

depot medroxyprogesterone acetate

initiate anytime in cycle - rule out pregnancy

recommend condoms for 7 days

30
Q

side effects DMPA

A

bleeding irregularity
delayed return to fertility
weight gain
decrease bone density

31
Q

most common cause discontinue DMPA

A

bleeding irregularity

32
Q

bleeding and spotting

A

decrease with each reinjection of DMPA

33
Q

weight gain and DMPA

A

yes there is

early weight gain may predict excessive gain

34
Q

bone mineral density and DMPA

A

after stopping - recovers

35
Q

DMPA contraindications

A

severe HTN

diabetics

36
Q

nuvaring

A

E and P

37
Q

combined hormone contraceptives

A

safe for most women

92% effective - typical use - because forget it

38
Q

contraceptive patch

A

change 1x week

E and P

venous thombolic event

is weight dependent**

39
Q

vaginal ring

A

continuous - leave in all time - lighter periods

lowest ethinyl estradiol dose

take out for 3 hours - other method necessary

40
Q

weight gain

A

only depot provera

41
Q

21-7 dosing for OCPs

A

catholic creator wanted to mimic normal cycle - not against god that way.. they are so dumb.

42
Q

breakthrough bleeding

A

common reason for discontinuation of OCPs

higher rates - smoke and cervical infections

if severe - give estrogen

43
Q

acne

A

all pills reduce acne

no consistent results on which progesterone

44
Q

risk of venous thromboembolism

A

pregnancy** - highest risk
high dose OC
low dose OC

45
Q

who cannot go on pill

A 
history of VTE
thrombogenic mutations
migraines with aura
HTN - poorly controlled
lupus with antiphospholipid Abs
46
Q

condom

A

good for prevention STIs

NOT for pregnancy contraception
15% failure

47
Q

emergency contraception

A

plan B - 72 hours

if missed some OCPs

REPRO II Exam 2 (21 decks)

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