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EOR - Women's Health > Contraception > Flashcards

Contraception Flashcards

1
Q

contraceptive methods

A

barrier
spermicides
OCPs
patch
nuvaring
minipill
IUD
emergency
depo-provera
nexplanon
sterilization

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2
Q

t/f: barrier methods offer STI protection

A

t

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3
Q

2 cons of diaphragm

A

-must remain in place 6-24 hr after intercourse
-requires pelvic exam/fitting

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4
Q

what is nonoxynol-9

A

spermicide

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5
Q

major con of spermicides

A

frequent use can increase risk for STI’s

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6
Q

moa for OCP’s

A

prevent ovulation by inhibiting mid-cycle LH surge -> thickens cervical mucus -> thins endometrium

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7
Q

4 pros of OCPs

A

-improve dysmenorrhea
-normalize menstrual cycle
-protect against cysts and ovarian/endometrial ca
-improve acne

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8
Q

t/f: OCPs increase risk of breast ca, cervical ca, and liver ca

A

f!

according to Smarty PANCE there is no convincing evidence that they do this

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9
Q

3 potential complications of OCPs

A

thromboembolic events
HTN
hepatic adenoma

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10
Q

3 s.e of OCPs

A

-breakthrough bleeding
-nausea
-breast tenderness

usually resolve w.in 3 cycles

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11
Q

contraindication for combined OCPs

A

> 35 yo PLUS smoker

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12
Q

t/f: combined OCPs are ok for pt’s < 35 yo who smoke

A

t!

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13
Q

t/f: failure rate of transdermal patches are comparable to OCPs

A

t!

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14
Q

patches may be slightly less effective for what pt pop

A

> 198 lb

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15
Q

benefit of patches over OCP

A

less risk for thromboembolic events

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16
Q

how often is the patch changed

A

weekly

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17
Q

how is the nuvaring used

A

1 ring intravaginally for 3 weeks each month

18
Q

t/f: mini pill has failure rates similar to OCP

A

t!

19
Q

3 pros of the mini pill

A

-safe in lactation
-no estrogenic s.e
-decreased ovarian/endometrial ca risk

20
Q

what are 3 estrogenic s.e

A

HA
neausea
HTN

21
Q

s.e of the minipill

A

-menstrual irregularities

22
Q

non hormonal IUD

A

paragard (copper)

23
Q

how often is the paragard replaced

A

q 10 years

24
Q

paragard is a good choice for what pt pop

A

women w. contraindication to hormones who want kids later in life

25
Q

what is the progestin only IUD

A

mirena

26
Q

how often is mirena replaced

A

q 3-5 years

27
Q

3 types of emergency contraception

A

levonorgestrel (Plan B, One Step)
Ella (ulipristal)
paragard

28
Q

levonorgestrel must be prescribed w.in _ days of unprotected sex

ella must be prescribed w.in _ days of unprotected sex

A

levonorgestrel: 3 days
ella: 5 days

29
Q

emergency contraception has up to _% failure rate

A

25

30
Q

copper IUD can be considered for emergency contractption w.in _ days of unprotected sex

A

5

31
Q

most effective emergency contraception

A

paragard

32
Q

what drugs may decrease efficacy of levonorgestrel or ella

A

CYP3A4 inhibitors:
carbamazepine
topiramate
st. john’s wort

33
Q

when should women resume OCP after taking levonorgestrel

A

asap

34
Q

when should women resume OCP after taking ella

A

wait 5 days

they may decrease efficacy of one another

35
Q

back up contraception should be used for _ days after taking levonorgestrel

and for _ days after taking ella

A

levonorgestrel: 7
ella: 14

or until next period

36
Q

what type of contraception is a long acting progesterone injection

A

depo-provera

37
Q

how long does depo last

A

3 months

38
Q

what type of contraception is a progesterone only implant in the upper arm

A

nexplanon

39
Q

how long does nexplanon work

A

3 years

40
Q

which has a higher failure rate: tubal ligation or vasectomy

A

tubal ligation

41
Q

what are the progestin only forms of contraception (4)

A

mini pill
mirena IUD
depo-provera
nexplanon

EOR - Women's Health (15 decks)

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