Birth Control and Emergency Contraception Flashcards

1
Q

What to ask?

A

(No birth control is 100%) What is the effectiveness rate?, What is the actual rate?, Who is responsible?, What form of birth control do you want to use?(Risks, Side effects, Cost, Ease of use)

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2
Q

Classifications

A

Hormonal, Barrier, IUD, Fertility Awareness Method, Sterilization, *Emergency Backup

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3
Q

What is the method of choice with sexually active teens?

A

Condoms are ;

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4
Q

Sexually active teenagers that does not use contraception have how much of a chance of becoming pregnant with in the year?

A

90%

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5
Q

Fertility Awareness Method

A

AKA: Rhythm method, Based on abstaining from sex during times that conception takes place

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6
Q

Fertility Awareness Method Avoidable Times

A

Ovum is most likely to become fertilized with in 24 hours after ovulation, Sperm can survive up to 7 days, To avoid pregnancy the couple needs to avoid intercourse between days 8-19

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7
Q

What is the key to the Fertility Awareness Method?

A

Key to using this method is knowing when the woman ovulates

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8
Q

Fertility Awareness Method can be measured three ways

A

Count days (calendar method), Basal body temperature, Cervical mucus

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9
Q

Basal body temperature (Fertility Awareness Method)

A

Body temp rises @ ½ to 1 degree when a female ovulates, Temperature is recorded everyday on fertility tracking calendar; Must be tracked for at least a few months to ensure best time for conception/worst time for prevention

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10
Q

Cervical Mucus Method

A

Menstruation (Days 1-5), Dry Days (Days 6-9), Wet Days (Days 10-20), Wettest Days (Days 17), Dry Days (Days 21-30)

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11
Q

Spermicide

A

Sold at most drugstores, no prescription needed; Chemical that stop sperm from reaching the egg

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12
Q

Forms of Spermicide

A

Gels, Films, Foam Suppositories

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13
Q

How does Spermicide work?

A

Works by blocking sperm from entrance to cervix and stops sperm from moving well

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14
Q

How to use Spermicide

A

Insert into vagina before sex to prevent pregnancy; Can be used by itself or with other birth control (diaphragm, cervical cap, condoms); Some aren’t effective right away need at least 10-15 minutes before sex, many only effective for 1 hour if engaging in sex more than once need to add more

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15
Q

Spermicide Effectiveness

A

18 out of 100 who use become pregnant each year even if used correctly; Actual rate: 28 out of 100 people who use spermicide become pregnant each year

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16
Q

Problems with Spermicide

A

Does not protect against STDs; According to planned pregnancy website: “using spermicide many times a day may actually increase your risk for HIV and other sexually transmitted infections. That’s because the chemical in spermicide (called Nonoxynol-9) can irritate your vagina and make it easier for STD germs to enter your body.”

17
Q

Pros of Spermicide

A

Inexpensive: Cost: @$8-15 per kit, No hormones, No prescription

18
Q

Cons of Spermicide

A

Have to use every time you have sex; Side effects: can irritate tissue, No protection against STDs, Can be messy

19
Q

Emergency Contraception

A

Must be taken within 120 hours of unprotected sex
NOT TO BE ROUTINELY USED
Two types: Contains high level of progestin or Contains ulipristal acetate

20
Q

Emergency Contraception that contains high level of progestin

A

One Step, Plan B, Next Choice

21
Q

Emergency Contraception that contains ulipristal acetate, requires a prescription

A

Ella

22
Q

Emergency Contraception works by:

A

Preventing a woman from ovulating, Thickening a women’s cervical mucus

23
Q

Emergency Contraception is relatively safe besides

A

Nausea, vomiting, breast tenderness, irregular bleeding (Emergency Contraception is NOT RU- 486, abortion pill)

24
Q

Abortion expulsion of the conceptus

A

Induced abortions, intentionally terminated pregnancies

25
Q

Abortion methods

A

Surgical is the most common in the US but medication is also possible (Vacuum aspiration, Dilation and Evacuation)

26
Q

Abortion RU 486 pill (Mifeprex)

A

Available in the US in 2000; works by blocking the activity of progesterone