Oral Contraceptives Flashcards Preview

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Flashcards in Oral Contraceptives Deck (24):
1

What are the two types of oral contraceptive categories?

combined - estrogen and progestin
mini-pill - progestin only

2

clues it contains estrogen?

-estra

3

clues that it contains progestin?

-gest
-nor

4

How does age affect the failure rate of contraception?

younger patient = higher failure rate

5

How does estrogen work to prevent pregnancy? (3)

suppress ovulation
alter endometrium
**speed ovum transport

6

How does progesterone work to prevent pregnancy? (5)

suppress ovulation
alter endometrium
**thicken cervical mucous
**retard sperm abilities
**slow ovum transport

7

In what two ways do both progesterone and estrogen prevent pregnancy?

suppress ovulation
alter endometrium

8

What are three non-contraceptive benefits to oral contraceptives?

decrease cramps
less menstrual flow
improve facial acne

9

What cancers do oral contraceptives offer some protection against? (2)

ovarian
endometrial

10

Excess estrogenic effects (4)

cardioembolic events
chloasma - mask
telangiectasis - spider vein face
breast tenderness

11

Deficiency in estrogen (2)

early cycle breakthrough bleeding
atrophic vaginitis

12

Excess progesterone effects (6)

breast tenderness
HTN
depression
fatigue
decreased libido
weight gain

13

Who would NOT be a good candidate for progestin-containing BC?

overweight, depressed, hypertensive, diabetic patient

14

Deficiency in progesterone (2)

late cycle bleeding (day 10+)
delayed menses

15

Excessive androgenic effects (5)

hirsutism
acne
oily skin
edema
increased libido

16

What are androgens?

hormones that support male characteristics
ex: testosterone

17

Excess estrogen/low progesterone combination

dysmenorrhea
menorrhagia

18

Absolute contraindications for OCPs

history of CVA, CAD
pregnancy
breast cancer
liver impairmentundiag
undiagnosed, abnormal uterine bleeding

19

What are two conditions for which progestin only pills are a good choice?

migraine
breastfeeding

20

OCP adverse effects - what may be causing ...
abnormal menstrual bleeding

too low a dose

21

OCP adverse effects - what may be causing ...
amenorrhea or hypermenorrhea

low progestin

22

OCP adverse effects - what may be causing ...
weight gain, fatigue, depression, acne, hirsutism

high progestin

23

OCP adverse effects - what may be causing ...
nausea, edema, breast tenderness

high estrogen

24

What drug interactions are of concern with OCs? (5)

antibiotics
anticonvulsants
warfarin
insulin
oral hypoglycemics