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Reproduction and Sexuality > 2.5.1 Contraception > Flashcards

2.5.1 Contraception Flashcards

1
Q

When is the pregnancy test not indicated?

A
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2
Q

What are some of the specific uses for progestin only?

A
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3
Q

What are the things to know from this lecture?

A
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4
Q

What are some of the minor side effects of OC?

A
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5
Q

What does emergency contraception NOT do?

A

Does NOT prevent implantation of the fertilized egg

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6
Q

How are these various rates trending: pregnancy, birthrate, abortion?

A

Trending downward

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7
Q

What is the time window for emergency contraception?

A

Within 72 hrs. The sooner, the better though

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8
Q

What are the four types of intrauterine devices?

A

Copper T (non-hormonal)

Mirena, Liletta, Skyla (progesterone releasing)

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9
Q

What are the most common methods of contraception?

A
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10
Q

What are some of the benefits of OC?

A
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11
Q

What are some of the side effects of IUDs?

A

Increased bleeding, cramping (copper T), amenorrhea or spotting (LNG-IUD)

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12
Q

What % of girls 15-19 use public funding to pay for birth?

A

66%

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13
Q

What is a good option for contraception if the girl isn’t good about taking pills?

A

Transdermal hormone patch (wear for 3 weeks of cycle)

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14
Q

What are some of the contraindications for IUDs?

A
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15
Q

What contraceptive technique is admitted subcutaneously?

A

Etonogestrel implant (progesterone)

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16
Q
A
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17
Q

Name three emergency methods?

A

0.75 mg levonorgestrel

Ulipristal

Copper IUD

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18
Q

Currently what % pregnancies end in abortion? Likeliness of black woman to have abortion? likeliness on medicaid?

A

22%

black women 5X more likely

Medicaid 3X more likely

19
Q

What is the MOA of oral contraceptives?

A

Inhibit mid-cycle gonadotropin (LH) surge

Prevent ovulation

20
Q

What % of reproductive age women use contraception?

A

62%

21
Q

Who is at greatest risk of getting pregnant?

A

< age of 20, black, never married

22
Q

Name the four drugs that can interact with OCs (HIGHEST YIELD)

A

Rifampin, Anticonvulsants, Griseofulvin (antifungal), HIV medications

23
Q

What are some of the risks/side effects of OC?

A
24
Q

What are the reproductive years?

A

15-44 y/o

25
Q

What is the MOA of etonogestrel implant?

A

Thicken cervical mucosa, prevent endometrial thickening, suppresses ovulation

26
Q

What are some of the harmful side effects of medroxyprogesterone? How do they try to prevent these side effects?

A

Massive weight gain, affects bone density

Used for no more than 2 yrs

27
Q

How are teen pregnancy rates trending?

A

Downward

28
Q

Unprotected sex for 1 year during reproductive years yields what % chance of pregnancy?

A

85%

29
Q

What are the two components of combination therapy?

A

Estrogen/progesterone pills

30
Q

What does minipill not inhibit? What is its MOA?

A

Does not inhibit mid-cycle gonadotropin surge

MOA: affects cervical mucus viscosity, fallopian tube mobility, and endometrial thickness

31
Q

What is usually used as a hormonal estrogen therapy?

A

Ethinyl estradiol (EE)

32
Q

What is essure?

A

Tiny coils inserted into the fallopian tubes transvaginally, permanent contraception, outpatient procedure

33
Q

What is emergency contraception?

A

Any combination of oral contraceptives that give 100 micrograms of EE

34
Q

What are some important components of precontraceptive evaluation?

A

History, pregnancy test, chlamydia screen, PAP (only >21)

BP, weight, BMI

PARENT CONSENT IS NOT REQUIRED

35
Q

What is the downside of “minipil” aka progestin only?

A

Pill must be taken everyday at the same time

36
Q

What some of the contraindications for risk of CVD/stroke? Cancer?

A

Smokers >35, migraine with aura, thromboembolic disorders

cancer: breast and endometrial cancer

37
Q

What is the benefit of the vaginal pouch?

A

Good protection for both partners, does not require an erect penis, can use oil based lubricants

38
Q

What contraceptive is inserted into the vagina and stays there for 3 weeks and can be removed during intercourse?

A

Vaginal ring (Nuvaring)

39
Q

What are some of the contraceptive techniques that decrease the # of cycles?

A

Seasonale/Jolessa/Quasense

Lybrel/Quartette

40
Q

What are the contraindication of Oral contraceptives?

A

Smoker

Migrane with aura

Thromboembolic disorders

Breast cancer

endometrial cancer

41
Q

What are the different types of progesterone in each generation? Which is most commonly used?

A

Most common: Levonorgestrel

42
Q

What are some of the different barrier methods?

A

Condoms, diaphragm, cervical cap, vaginal pouch, sponge, spermicides

43
Q

What is the idea behind natural family planning?

A

Identification of fertile days and abstinence at that time (monitoring presence and consistency of cervical mucus production is the basis for most effective method)

Reproduction and Sexuality (58 decks)

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