25. Contraceptives

Question 1

What types of hormonal contraceptives are there?

Answer 1

• Oral contraceptives
• Parenteral (depot) contraceptives
• Transdermal contraceptives
• Contraceptive implants
• Local contraceptives
• Postcoital contraceptives

Question 2

Which are the oral contraceptive types?

Answer 2

• Estrogen + progestin combination
• Progestin alone (“minipill”)

Question 3

Which are the estrogen + progestin combinations for oral contraceptives?

Answer 3

• Monophasic:
  
  • ​Estrogen: Ethinylestradiol
  • Progestine:
    
    • Pregnans: chlormadinone, drospirenone
    • Gonans: levonorgestrel, norgestimate, desogestrel, gestodene
• Biphasic (days 1-10, 11-21):
  
  • Ethinylestradiol + levonorgestrel or desogestrel
• Triphasic (days 1-7, 8-14, 15-21)​:
  
  • Ethinylestradiol + l**evonorgestrel or gestodene

Question 4

Which are the progestin alone (minipill) drugs for oral contraceptives?

Answer 4

• Norethindrone
• Norgestrel

Question 5

Which are the parenteral (depot) contraceptives?

Answer 5

• Depot injection of medroxyprogesterone acetate
• Depot injection of estrogen + progestin combination (like oral combinations)

Question 6

Which are the contraceptive patches?

Answer 6

• Estrogen + progestin combination:
  
  • Ethinylestradiol + norelgestromin

Question 7

Which are the contraceptive implants?

Answer 7

• SC implants of progestins:
  
  • ​Norgestrel or etonorgestrel

Question 8

Which are the local contraceptives?

Answer 8

• Intrauterine device containing levonorgestrel
• Vaginal ring containing ethinylestradiol + etonorgestrel
• Spermicidal disinfectants benzalkonium, nonoxinol

Question 9

Which are the post-coital contraceptives?

Answer 9

• Progestin alone or combined with estrogen
• Ulipristal-acetate