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Flashcards in Women Health Deck (45)
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1

Contraception Methods

-abstinence
-withdrawal
-natural family planning
-hormonal
-barrier
-permanent sterilization

2

Vasectomy

-scalpel technique: cut and ligate/cauterize vas deferens

-no-scalpel technique: puncture scrotum to deliver vas deferens then ligate or cauterize

3

Traditional tubal occlusion

-ligating
-blocking with clips or rings
-cauterizing

4

Newer tubal occlusion

-brand name: essure
-micro-inserts placed into proximal fallopian tubes
-no reported pregnancies to date

5

IUD's

-most effective
-NOT for patient with current STD, PID, or uterine anomalies

6

ParaGard T

-releases copper
-causes inflammation of endometrium and decreased sperm motility
-placed for 10 years

7

Mirena & Skyla

-releases levonorgestrel
-creates inhospitable environment
-decreased ovulation
-Mirena placed up to 5 years
-Skyla up to 3 years

8

IUD decreases...

risk of ectopic pregnancy compared to patients no using birth control

9

Nexplanon

-most effective
-contains progestin
-implanted in inner upper arm

NOT for:
-hx of clot
-hx of br cancer
-liver dz
-smoker

10

Combination Oral Contraceptives

-very effective
-administration of estrogen and progesterone prevents ovulation
-come in various forms and combo's
-very effective if used as directed

General risks: hypercoagulability

11

How to take contraceptives

-usually, active pills are taken for 21 days, then 7 days inactive pills

12

Monophasic

-fixed ratio estrogen/progesterone

prototype: Lo/Ovral

13

Biphasic

-estrogen stays same, progesterone increased in 2nd half

prototype: mircette

14

triphasic

-estrogren and progesterone increase in 3 phases

prototype: ortho tricylcen Lo

15

Combo pills serious side effects

-thrombosis
-accelerated breast tumor growth

16

Patient teaching oral contraceptives

A: abnormal liver fx
C: CP - SOB
H: HA
E: eye problems
S: severe leg pain (thromboembolic process)

17

Progestin-only products

-mini pill
-work more by creating inhospitable environment than preventing ovulation
-less effective, more breakthrough
-safer is a smoker, heart dz, breastfeeding
-all 28 pills are active

Prototype: Micronor

18

Depo

-lasts 3 months
-safe postpartum
-must stay on schedule
-side effects: irregular spotting at first, eventually may have amenorrhea

-wt gain, HA, decreased libido, depression, hair loss, delayed return to fertility

-loss of bone mineral density

19

Xulane: The Patch

-1 combo patch q wk x3, then 1 wk off

-advantages: easier to remember

-not effective if over 198lbs, skin rxns common

-other side effects similar to combo pills, greater risk for VTE compared to pills

-not for pt with hx of VTE

20

NuvaRing

-combo hormone
-indwelling ring placed against the cervix
-remains for 3 wks, then removed for 1 wk to allow meses
-need backup for 1 wk after ring placed for first time
-side effects similar to combo pill
-other issues: client comfort with use

21

Barrier Method

-moderately effective
-male/female condoms
-vaginal sponge
-diaphragm

22

Cervical Cap

-FemCap
-more effective for nulliparous women

23

Spermicide

-effective

-available as creams, gels, film, foam, and suppositories containing nonoxynol-9

-used alone or with a barrier method

24

Fertility Awareness

-effective
-rhythm method
-standard days method (cycle beads)
-BBT Method
-Billings ovulation method
-Symptothermal method

25

Emergency Contraception

-prevents pregnancy after sex

-not the same as abortion pill

-methods: plan B, Ella, Copper T IUD

26

Abortion

Spontaneous vs. Elective
-purposeful interruption of pregnancy before 20 wks gestation (elective, therapeutic)
-legal and moral issues

27

Concurrent use of spermicides and latex condoms...

provides protection against STIs

28

Tubal ligations and vasectomies are...

permanent sterilization methods

29

Induced abortion performed in the ____ trimester is safer and less coplex

first

30

most common complications of induced abortion

-infection
-retained products of conception
-excessive vaginal bleeding