Introduction to hormonal contraceptives

Question 1

Hormonal methods are safe, effective, and reversible.

True or False?

Answer 1

True

Question 2

Hormonal methods disrupt an existing pregnancy

Answer 2

False

Question 3

Hormonal methods interfere with intercourse

Answer 3

False

Question 4

Hormonal methods protect from AIDS or sexually transmitted infections (STI) in general

Answer 4

False

Question 5

Hormonal contraceptives methods (HCM) contain one or two hormones. Which are these?

Answer 5

Estrogen and progestine

Question 6

What is progestin?

Answer 6

It’s a synthetic hormone similar to the progesterone hormone made naturally by the ovaries

Question 7

What do the hormonal methods do to the uterus?

Answer 7

Thich cervical mucus, which makes harder for the sperm to rise the egg

Disrupt menstrual cycle, incluiding preventing ovulation

Question 8

How are the HCM delivered into the bloodstream?

Answer 8

1. Under skin by an implant
2. Implantation on the womb
3. An injection
4. A pill is taken by mouth
5. A skin patch
6. A ring that is worn in the vagina next to the cervix

Question 9

Where is the contraceptive implant placed?

Answer 9

Under the skin of the upper arm

Question 10

What hormone is released by the implant?

Answer 10

Progestine

Question 11

For how long is the Jadelle implant effective and how many rods does it have?

Answer 11

5 years of effectiveness

2 rods

Question 12

For how long is the Implanon implant effective and how many rods does it has?

Answer 12

3 years of effectiveness

One rod system

Question 13

This HMC is T-shaped

Answer 13

LNG-IUD

Levonorgestrel intra uterine dispositive

Question 14

Which hormone(s) is released by the IUD?

Answer 14

Levonorgestrel

Question 15

What is the levonorgestrel?

Answer 15

A second generation of progestine

Question 16

How is the IUD used?

Answer 16

It is inserted and removed into and from the womb by a trined provider

Question 17

For how long is the IUD effective?

Answer 17

3-5 years

Question 18

What is the injectable contraceptive?

Answer 18

It’s an injection that contains either progestine or a compbination of progestine and strogen

Question 19

For how long is the injectable contraceptive effective?

Answer 19

It depends upon type of injectable

Question 20

What is the combined oral contraceptive? (COC)

Answer 20

A small pill taken daly that releases a low of both progestine and strogen

Question 21

What is the effectiveness of the COC?

Answer 21

It depends on taking the pill every day

Question 22

What is the progestine only pill? (POP)

Answer 22

Small pill taken daily that releases a low of progestine only

Question 23

What is the effectiveness of the POP?

Answer 23

It depends on takin the pill every day

Question 24

What do the doctors recomend for maximum effectiveness when taking the POP?

Answer 24

It should be taken daily without exceptions and at the same hour every day within a window of 3 hours or less

Question 25

Is the COC safe for breastfeeding women?

Answer 25

No. The POP is

Question 26

What is the patch?

Answer 26

It's an small piece of flexible plastic that adheres to the skin

Question 27

Which hormones does the patch releases?

Answer 27

Progestine and strogen

Question 28

How often is the patch replaced?

Answer 28

Once a week for 3 consecutive weeks. No patch is worn during the fourth week in order to allow monthly bleeding.

Question 29

What is the levonorgestrel emergency contraceptive pill? (ECP)

Answer 29

A progentine-only method to prevent pregnancy after unprotected intercourse.

Question 30

How is the ECP taken?

Answer 30

A single dose of 1.5mg is taken within 5 days or 120 hours after unprotected sex. Artenatively, a woman can take the pill in two doses, 0.75mg each one, 12 hours apart

Question 31

What do the doctors recomend for mximum effectiveness when takin the ECP?

Answer 31

It should be taken within 24 for hours AFTER unprotected intercourse

Question 32

Does the EPC provides ongoing protection against pregnancy?

Answer 32

No. It's for emergency use only

Question 33

Effectiveness of contraceptive implant on perfect use

Answer 33

99.95%

Question 34

Effectiveness of LNG-IUD on perfect use

Answer 34

99.8%

Question 35

Effectiveness of injectable contraceptives on perfect use

Answer 35

94%

Question 36

Effectiveness of COC and POP on perfect use

Answer 36

91%

Question 37

Effectiveness of ECP on perfect use

Answer 37

The ECP does not provide ongoing protection againts pregnancy

Question 38

Effectiveness of combined vaginal ring on perfect use

Answer 38

91%

Question 39

Effectiveness of combined skin patch on perfect use

Answer 39

91%

Question 40

Under what criteria are classified the conditions of eligibility?

Answer 40

Under four categories which reflect the degree of risk associated with the use of the method

Question 41

Category 1 of eligibility

Answer 41

There are no restrictions to use

Question 42

Category 2

Answer 42

The method can be provided even if the clinical judgment is limited. Generally use. Some follow up may be needed

Question 43

Category 3

Answer 43

The method shouldn't be provided where clinical judgement is limited. Clinical judgement and continuing access to clinical services are required for use

Question 44

Category 4

Answer 44

The method must not be used

Question 45

Can a breastfeeding woman take HMC?

Answer 45

It depends on how many weeks has the baby and the type of HMC

Question 46

Can a post-abortion woman take HMC?

Answer 46

Yes, except for the IUD

Question 47

Can smoking women take HMC?

Answer 47

It depends on her age and the number of cigarettes she smokes every day

Question 48

Name the factors for HMC criteria for a woman with hypertension

Answer 48

Blood pressure Blood pressure can be evaluated or not (history of hypertension) BP controlled or not

Question 49

Can a woman with headaches take HMC?

Answer 49

It depends on if it is migrainous or not and with or without aura

Question 50

Can a woman with cancer take HMC?

Answer 50

It depends on the type of cancer and if she is awaiting treatment or in a current treatment

Question 51

Can a woman with breast cancer take HMC?

Answer 51

She can only use the IUD

Question 52

Can a woman with diabetes take HMC?

Answer 52

It depends on if she has nephropathy, retinopathy, or neuropathy and the years she has had diabetes

Question 53

Can a woman infected with AIDS take HMC?

Answer 53

There is no restriction for the use of HMC even if she's taking ART, except for the IUD, where special consideration must be required

Question 54

The health risks when taking HMC are commons True or false?

Answer 54

False They are rare

Question 55

What is the most common, but rare, risk when taking COC?

Answer 55

Strokes and heart attacks

Question 56

What are the main topics to treat with the client when counseling?

Answer 56

Types and characteristics Risks and benefits Costs