Wk3 Contraceptives Flashcards
(20 cards)
Avoid intercourse when for natural method:
5 days prior and 3 days after ovulation
Best STI protection
condoms
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
thromboembolic events
cervical cancer
drug interactions
More androgenic: older or newer estr/progest pills?
older
problem with 3rd gen estro/progest pills versus older ones?
higher thromboembolic potential
pill with improved weight stability/water retention
improved androgenic SE’s
Drospirenone
**spironolactone analog
How to prescribe the right pill:
start with low dose
consider comorbidities
allow 2-3 cycle to assess
benefits of ring
lower hormone dose
rapid return of ovulation
What to use if woman wants to nurse
progesterone only
BIG issue with start of progesterone only…
irregular bleeding
Progesterone-only benefits:
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
bone health
implanted progesterone rods good for how long?
3-years
IUD effective for 10 years
copper
IUD if pt wants regular periods
copper
how long to use protection after nonsurgical tubal ligation
three months
how long to use protection after vasectomy
20 ejaculations or 3 months
