Contraception

Question 1

what are some contraindications of OCPs (combination pills that contain both estrogen and progesterone)?

Answer 1

Hx of thrombolytic events
liver disease
estrogen dependent tumor
age over 35 and smoker
undiagnosed abnormal menstrual bleeding
vascular disease, CAD

Question 2

what are some precautions of OCPs?

Answer 2

Hypertension
anticonvulsants/ other drug interactions
migraine with aura
obese, over 35
DM

Question 3

Advantages of progestin only pills?

Answer 3

contain no estrogen (safe for women who cannot tolerate estrogen, lactating women)
does not suppress lactation
safer in smoker

Question 4

what is a difference between contraceptive patch vs OCPs

Answer 4

Patch has possible increased risk of venous thromboembolism

Question 5

what is the mechanism of action of IUDs?

Answer 5

Inhibition of sperm migration, fertilization or ovum transport

Question 6

what is a risk with depo-provera

Answer 6

risk of osteopenia (weak bones); especially in the first 2 years of use

Question 7

what is the mechanism of action of Plan B?

Answer 7

Inhibits ovulation, interference with fertilization or tubal transport, altered endometrial receptivity to implantation, regression of corpus luteum

Question 8

what is another option for Emergency contraception?

Answer 8

paragard IUD can be inserted within 5 days of unprotected intercourse for emergency contraception