camtasia- hormonal contraception recap Flashcards
But multiple risk factors for CVD is WHO category
Four
Blood pressure greater than 160/100 is WHO category
Four
Cardiac valvular disease with complications such as hypertension, afib, history of SBE is WHO category
Four
Current DVT/PE, and most women with a history of DVT, is a WHO category
Four
Major surgery with prolong the mobilization is WHO category
Four
Known thrombogenetic mutations is WHO category
Four
Past to our current ischemia heart disease is WHO category
Four
The history of CVA
Is category four
Migraine with aura
Is category four
Migraine without aura, age greater than 35
This category 3/4
Current breast cancer is category
Four
History of breast cancer and no evidence of disease for past five years is category
Three
Diabetes with neuropathy, retinopathy, vascular disease, are greater than 20 years duration is category
3/4
Active viral hepatitis
Is category four
Severe cirrhosis are malignant liver tumors this category
Four
If a woman is a light smoker age 35 to 40 how would you advise her with COC?
Use caution
An otherwise healthy woman less than 35 years old COCs are considered
Acceptable
Smoking more than 15 cigarettes per day in over a age 35 is
Category four -no COC
Any smoking over age 40 is
Category four absolutely no COC
For a postpartum woman not breastfeeding: before three weeks postpartum, COC is category
Four
For a postpartum woman not breastfeeding:
Between three and six weeks postpartum with risk for V TE, the risk is category
3/4
For a postpartum woman not breastfeeding, between three and six weeks with no risk for VTE, the risk category is
Two
For breastfeeding women avoid estrogen containing methods because of
Milk supply issues
For breastfeeding women estrogen containing methods should be avoided at least
Six weeks postpartum
Do some advise to avoid estrogen products for the duration of breastfeeding?
Yes, they do!
What method is preferred to start COC by the WHO
Quickstart method
On the Quickstart method, when you take the first pill ?
Th th the day of the office visit
How long should you use backup methods on Quickstart?
Seven days
If you start on the first day of menses do you need backup?
No
If you start on the Sunday after menses how long will you need backup?
Use backup for seven days if pill started more than five days after menses started.
When you counsel a patient regarding COC, but you must include information regarding what to do if
But you miss a pill
If you miss a pill, emergency contraception may be needed if you’ve had unprotected sex in the past
Five days
For most women, advises follows: the first day you may as a pill,
Take two pills and use condoms for the next seven days
Most common side effects of Ortho EVERA or the patch
Skin reactions, breasts symptoms, headache, nausea.
Can women greater than 198 pounds use the patch
Not advised, there may be a greater risk of pregnancy
Can you start the patch on the first day of menses
Us no need for backup
If you use the Quickstart method should you use backup?
yes. Use backup for seven days
If the patches lose our off for less than 24 hours
Reapply firmly. Do not use other adhesives and wraps
If the patch is loose or off for greater than 24 hours
Start new patch cycle immediately
Use backup for seven days
This is now a new patch change day
nuvaring but most common side effects that are
Headache, leucorrhea, ring expulsion, in foreign body sensation.
Should the nuvaring occupy a special position in the vagina?
No
Can nuvaring be removed?
Yes for up to three continuous hours.
If nuvaring is removed greater than three continuous hours in weeks one or two,
Reinsert the same ring as soon as possible in use backup for seven days.
If nuvaring is out of the vagina greater than 3 continuous hours, in week three,
insert new ring
What is the only category 4 for condition listed for Depo-Provera, and progesterone only pills?
Breast cancer
What are common changes with depo-provera and pops?
Menstrual cycle changes are very common
Depo-provera may produce
Unpredictable bleeding
½ of all women using Depo-Provera are without a period For
One year
80% of all women using depo-provera are without a menstrual cycle after
Five years
Progesterone only pills produce
Short and irregular cycles
Less commonly progesterone only pills produced
Prolonged bleeding and amenorrhea.
Common side effects for depo-provera are
Weight gain, depression
For depo-provera a backup method is needed for
One week after the first injection and less given during the first five days after beginning a normal cycle.
If more than one week late for depo-provera injection you should
Exclude pregnancy and use backup for seven days after RE initiating
How long will it take to return to fertility when depo-provera is discontinued
6 to 12 months
What are warning signals when I’m depo-provera
Repeated, very painful headaches That heavy bleeding Depression Severe lower abdominal pain pus Prolonged pain Bleeding at injection site
Progesterone only pills
Regular periods may indicate that the user is
ovulating
What time of day should you take pops?
Take at exactly the same time each day and never longer than 24 hours since last dose
If more than 2 to 3 hours late taking pops, you must use
A backup method for 48 hours until you are back on schedule.
Pop’s are considered to be a as effective as COC provided the woman can
Adhere to the dosing schedule
implanon is category four for what?
Breast cancer
Is implanon easily reversed?
yes, it is quickly reversible
Adverse reactions from implanon are
Menstrual cycle disturbances are common
There may be inflammation, infection, are breezing at the site of insertion.
But but can you gain weight on implanon?
Average weight gain is less than 5 pounds.
Implanon must be inserted in the first
Five days after menses begins.
If so no backup is needed.
Is a backup needed if implanon is inserted longer than five days after menses begins?
Yes, backup is needed for seven days.
Implanon is intended to provide contraception for
Three years
Implanon that can be inserted in postpartum nursing mothers at
Four weeks
