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