Wk3 Contraceptives Flashcards Preview

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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

how long to use protection after vasectomy

20 ejaculations or 3 months