08. Contraception

Question 1

Mini-Pills

Answer 1

Progesterone only. Indicated for women with contraindications to estrogen. Good contraceptions without ovulation suppression.

Question 2

Contraceptive Patch

Answer 2

Patches applied to butt, lower abs, upper outer arm, or upper torso that delivers norelgestromin for a 7 day period

Question 3

Contraceptive Patch Disadvantages

Answer 3

Possible thromboembolism; HA; Nausea

Question 4

Vaginal Ring Advantages

Answer 4

Fitting by a health professional is NOT required. Worn for 3 wks/month and left in place during intercourse.

Question 5

Vaginal Ring Disadvantages

Answer 5

Slight discomfort; foreign body sensation, leukorrhea, vaginitis; coital problems

Question 6

Injectable Contraceptive (DepoProvera, Luminal)

Answer 6

Progesterone suspension administered IM into the gluteus maximus or deltoid q3mo

Question 7

Injectable Contraceptive Advantages

Answer 7

Decreased risk of ectopic preg; Decreased risk of endometrial CA; Decreased incidence of sickle cell crisis; May improve endometriosis

Question 8

Injectable Contraceptive Disadvantages

Answer 8

Reduction in bone mineral density; Mood changes & depression

Question 9

Implantable Contraceptive (Norplant)

Answer 9

Small rod implanted in arm that releases etonogestrel

Question 10

Implantable Contraceptive Advantages

Answer 10

Maintains efficacy for up to 3 yrs

Question 11

Implantable Contraceptive Disadvantages

Answer 11

Menstrual abnormalities; wt gain

Question 12

Progestin Containing IUD

Answer 12

Copper T380A device or Levonorgestrel-releasing device

Question 13

Progestin Containing IUD Advantages

Answer 13

Lifespan of at least 10 yrs

Question 14

Progestin Containing IUD Disadvantages

Answer 14

Expensive; increased risk of PID and ectopic pregnancy; Contraindicated with HIV; Risk of uterine perforation or uterine expulsion

Question 15

Lifespan of sperm in female

Answer 15

3-5 days

Question 16

When are preterm births most likely?

Answer 16

Within 18 months of a previous birth

Question 17

Absolute Contraindications for Hormonal Birth Control

Answer 17

Estrogen-dependent CA
Migraine with aura
VTE
Active Liver Dz
Smoker > 35

Question 18

Nonmedical benefits of contraceptives for Individuals

Answer 18

Expanded access to education, work, & financial security

Question 19

Nonmedical benefits of contraceptives for Families

Answer 19

Increased resources; greater attention and care to each child

Question 20

Nonmedical benefits of contraceptives for Society

Answer 20

Higher productivity, increased gender equality; reduced public spending

Question 21

What is cut during a vasectomy?

Answer 21

Vas deferens

Question 22

In order of effectiveness, what are the top 3 Contraceptive methods?

Answer 22

Levonorgestrel intrauterine system/Etonogestrel implant; Sterilization; IUD

Question 23

Which hormonal contraceptives have approximately the same effectiveness?

Answer 23

Injection; OCP; Vag ring; Patch