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Flashcards in OB - Module 10 Deck (18):
1

Complications with OC's

Oral contraceptives not for use with thrombophlebitis or strokes due to hormones

2

Complications with diaphragm and cervical cap

Diaphragm and cervical cap are unsafe

3

What are some cost effective contraceptive options?

condom and spermicide. IUD's are cost effective over a 5 year period

4

Female sterilization

Bilateral tubal ligation

5

Male sterilization

Vasectomy - less expensive

6

Single rod progestin implant
action
side effects
removal

Action: Continual progestin release for 3 years
Side Effects: Irregular bleeding and bleeding between periods.
Removal: Fertility returns immediately after removal

7

Depo Provera
action
side effects
removal

Action: Give Progestin IM and prevents ovulation for 12 weeks
Side Effects: spotting or amenorrhea. 3% failure rate
Removal: Feritility returns in 10-18 months

8

What hormones are effected with oral contraceptives?

Estrogen and Progestin

9

What is the action of oral contraceptives?

Cause thickening of cervical mucus, block luteinizing hormone, and impair capacitation of sperm.

10

21 tablet OC process

Take one pill/day for 3 weeks, stop on week when menstruation occurs

11

28 tablet OC process

21 active tablets for 3 weeks and 7 inert tablets on the fourth week.

12

Seasonale OC process

84 active pills, 7 placebo tablets. Results in fewer menstrual periods and allows women to have only 4 periods per year

13

What are mini pills

OC pills that contain progestin but not estrogen. Has a higher risk for pregnancy

14

IUDs

Copper T (Paragard) And LNG-IUS (Mirena)

15

Failure rate of IUDs

Paragard - 0.8%
Mirena - 0.2%

16

Chemical barriers

Spermicides, creams/gels/foams, suppositories, and vaginal film. Failure rate of 29% and don't protect from STDs

17

Symptothermal method

Uses calendar, basal body temperature, and cervical mucus methods

18

Marquette method

Uses electronic hormonal fertility monitor to check hormones and determine when woman is fertile. 10% pregnancy rate