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Reproductive-Week 3/4 > Contraception > Flashcards

Contraception Flashcards

1
Q

Almost _________ of pregnancies are unintended

A

50%

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2
Q

Sexual activity during menses has a ___% chance of conception

A

1

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3
Q

Sexual activity during Mid-Cycle has a ____% chance of conception

A

30 (egg has just ovulated)

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4
Q

Timeframe for the “fertile window”

A

Day 10-15 (even though egg is ovulated at Day 14, prior sperm can stay and travel for a few days)

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5
Q

Why is the Fertile Window Day 10-15 if ovulation doesn’t occur until Day 14

A

Sperm can stay viable for a few days, so prior sexual activity can have sperm in the fallopian tube ready for the egg

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6
Q

MOA for most hormonal contraceptives

A

Excess progesterone disrupts pulsatile GnRH release, preventing LH surge and thus preventing ovulation and endometrial thickening/hyperplasia

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7
Q

Most efficacious Contraceptive methods

A

Hormonal IUD
Nexplanon (implant)
Male Sterilization

*remove human error

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8
Q

Examples of Contraceptives

A

Combined Hormonal contraceptives (pills, patch, ring)
Progestin-Only (pills, injection, IUD, Implant)
Condoms
Diaphragm
Sterilization

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9
Q

Side-effects of Oral, Patch Contraceptives and Vaginal rings; they are combined (estrogen+progesterone) contraceptive methods

A

Hypercoagulability (VTE)

Stroke

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10
Q

MOA of IUDs

A

Thickens Cervical Mucous

Thins Endometrium

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11
Q

Side-effects of IUDs

A

Expulsion

Perforation

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12
Q

MOA of Contraceptive implants

A

Rod placed under skin in upper arm; release progesterone for 3 years; suppresses ovulation and thickens cervical mucous

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13
Q

MOA of Depo (contraceptive shot)

A

3 month injection of Progesterone; suppresses ovulation

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14
Q

Side-effects of Depo (contraceptive shot)

A

Irregular bleeding

Weight gain

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15
Q

What is the “mini-pill”

A

Progestin only (NO ESTROGEN) (thickens cervical mucous)

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16
Q

Condoms do not protect from STIs (True or False)

A

False; do protect against STIs

17
Q

Common MYTHS about IUDs

A

Cause Pelvic infection
Impair future fertility
Cause ectopic pregnancies

18
Q

Examples of possible EMERGENCY Contraception

A

Oral (progestin-only, combined)

Copper IUD

19
Q

Examples of Surgical Sterilization

A

Tubal ligation/clips
Vasectomy
Transcervical Hysteroscopic Sterilization

20
Q

(Progestin/Estrogen) suppresses GnRH, thus inhibiting both LH and FSH, suppressing ovulation, thickening cervical mucous, and preventing endometrial thickening

A

Progestin

21
Q

(Progestin/Estrogen) only suppresses FSH, thus only suppresses ovulation

A

Estrogen

22
Q

Effects of Progestin (in contraceptives)

A

Suppress GnRH–> low LH and FSH–> suppress ovulation, thicken mucous, prevents endometrial thickening/hyperplasia

Reproductive-Week 3/4 (13 decks)

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