Flashcards in Wk3 Contraceptives Deck (20):
1
Avoid intercourse when for natural method:
5 days prior and 3 days after ovulation
2
Best STI protection
condoms
3
Which can be left in longer, diaphragm or cervical cap?
cervical cap -- up to 48 hrs
4
Primary mechanism of hormonal contraception:
inhibition of LH surge
-also makes cervical mucous inhospitable for sperm
-endometrium less hospitable to implantation
5
Medical concerns with combined estrogen/progesterone
thromboembolic events
cervical cancer
drug interactions
6
More androgenic: older or newer estr/progest pills?
older
7
problem with 3rd gen estro/progest pills versus older ones?
higher thromboembolic potential
8
pill with improved weight stability/water retention
improved androgenic SE's
Drospirenone
**spironolactone analog
9
How to prescribe the right pill:
start with low dose
consider comorbidities
allow 2-3 cycle to assess
10
benefits of ring
lower hormone dose
rapid return of ovulation
11
What to use if woman wants to nurse
progesterone only
12
BIG issue with start of progesterone only...
irregular bleeding
13
Progesterone-only benefits:
reduction of menstrual flow
low risk of thromboembolis/MI/stroke
reduced risk of endometrial CA and PID
14
Risk of minipill
if missed within 3 hours need backup contraception
15
problem with injectable progesterone
bone health
16
implanted progesterone rods good for how long?
3-years
17
IUD effective for 10 years
copper
18
IUD if pt wants regular periods
copper
19
how long to use protection after nonsurgical tubal ligation
three months
20