Lesson 3 (Part 1) Flashcards
(29 cards)
BCP
Birth control pill
What are the indications for using BCP? (3)
- Family planning
- PMS
- Dysmenorrhea
PMS
Premenstrual syndrom
Dysmenorrhea
Painful mestration
How do oral contraceptives work? (5)
- Initiating negative feedback inhibition of FSH and LH
- Suppress FSH and LH
- preventing ovulation - No corpus luteum to produce progesterone
- No change in cervical mucous
- Endometrium does not thickened and is unreceptive to implantation
What do minipills for birth control contain?
Progesterone
What are the different delivery systems of birth control? (4)
- Oral
- the pill - Hormone injections
- Depo - Transcutaneous
- skin patches - Hormone-containing implants under the skin
What are long term complications of using oral contraceptives? (2)
- Post pill amenorrhea
2. Infertility
What are complications of using oral contraceptives? (2)
- Benign liver adenoma
- may hemorrhage - Cholelithasis
- GB pathology
What are higher risk complications for using oral contraceptives? (3)
- Thromboembolus
- Cerebral vascular accident
- stroke - Hypertension
- increase risk if smoker or if have previous high BP
What are benefits when using oral contraceptives? (6)
- Decrease risk for ovarian cancer
- Decrease risk for endometrial cancer
- Decrease risk for ectopic pregnancy
- Decrease risk for anemia
- Decrease in Dysmenorrhea
- Decrease in functional ovarian cysts
IUCD
Intrauterine contraceptive device
- same as IUD
Where does the IUD go?
Inserted into the endometrium
- remains for months or years
What does the IUD trigger?
Foreign body reaction
- inflammatory response
- toxic to sperm and probably ova
What does the IUD prevent?
Fertilization
What are the different types of IUDs? (4)
- Copper T
- Copper 7
- Lippies Loop
- Safe-T-coil
What do copper paragards do?
They release copper contributes to induce an inflammatory reaction that helps prevent fertilization
What does mirena do? (2)
- Releases progesterone to thicken the cervical mucus which causes a barrier to the sperm
- Makes the lining of the uterus inhospitable to implantation
- preventing fertilization
Where is the IUD within the uterus?
In the superior aspect within the endometrium
- fundus
If the IUD is not within the endometrium, then were else could it be? (3)
- Too low in the lower uterine segment
- Perforated the myometrium
- In the adnexa
What is the sonographic appearance of an IUD? (2)
- Highly echogenic
- Some posterior shadowing
- copper is made of metal so therefore it has a more prominent shadow
What are some complications of an IUD? (6)
- Infection
- Perforation
- hole
- lots of shadowing - Malposition
- Incomplete removal
- Located in the adnexa/ pelvic region
- Pregnancy
What if US can not find the IUCD?
Pelvic X-ray will show the entire pelvic region
When can you take the IUD out if pregnant?
In the 1st trimester because it is seen the best
- cant see it in the 2nd and 3rd trimester
