Contraception Flashcards
Efficacy Definition
The likelihood a pregnancy can occur even though you usi g th bc as prescribed
Effectiveness
How well the method works in actual practice
Highest effective use of BC (2 of them)
IUD and LARC (Levonorgestrel-Releasing Intrauterine Device)
Copper IUD Copper T and ParaGard how long it lasts
-Inhibit sperm migration and viability
-10 year life span/non hormonal
LARC (Mirena, Liletta, Kyleena)
How long it last
Menstrual cycle
s/e
-cervical mucous viscous/impermeable to sperm
-Menstrural cycle decrease/amenorrhea/dysmenorrhea/heavy bleeding
-s/e: nausea, h/a, mood change, breast tender, ovarian cyst
-last 5 years .
LARC: Nexplanon
Controlled release of etonogestrel over 3 years
- Nexplanon releases PROGESTIN
- Subdermal implant, 4x2. Visualized on X-ray.
-thicken cervical mucous, alter uterine lining Fertility immediately after removal, ovulate in 6 weeks.
Non preggos can use this
s/e: irregular bleeding, amenorrhea, h/a, weight gain, acne, breast tender
What is the 4 categories guidelines for contraception
US Medical Eligibility Criteria Categories for Classifying Hormonal Contraceptives and Intrauterine Devices
What are the 2 PERMANENT CONTRACEPTION
Sterilization (Tubal Occlusion/Ligation) –> block fallopian tubes and blocks sperm
or
Vasectomy (cuts the right and left vas deferens that carries sperm)
Vasectomy, Vassal occlusion, and vassal injection
Outpatient
Combined estrogen and
progestin
*what is the high risk of *
- oral contraceptives
-patches
-vaginal ring
Thromboembolic evens and endometrial hyperplasia**
Progestin ONLY
Which two primary goal is not for preventing ovulation?
IRREGULAR BLEEDING
Drop Provera
Sub-dermal implants
LNG IUD + POP (protesting only pills) - not primary for preventing ovulation
Who cannot get oral contraceptives?
Do you need a pelvic exam?
BP > 140/90
Hx of vascular disease
Migraine
Breast ca
Liver disease
Smoker 15 + cigs/day
>35 y/o
DM
Thrombogenic mutation
No don’t need a pelvic exam
Initial Pill Pack
R/t Bleeding and starting >5 days
Prescribe 1 year supply (COC) to help with continuation
If you not preggo you can start at any time
> 5 days since bleeding, no sex and additional contraceptive use
What is a late dose
< 24 hours since last dose should have been taken
What is missed dose
> 24 hours since last dose should have been taken
Benefits of COC, what does It not protect you from
Increase bone density, dc PID risk, Dc endometrial, ovarian, and colorectal cancer
BUT
does not protect against HIV
For late and missed dose <48 hours
Take ASAP
COntinue regular regimen
No additional contraception needed
For late and missed dose >48 hours
Back up contraception needed (condoms) no sex until 7 days continual pill use
Continue regular regimen
No additional contraception needed
POP pills
can use with breastfeeding
Use at any age
Amenorrhea at 12 months
PID Protective
Missed POPor nausea, vomiting : Back up contraception for 2 days
Warning signs of COC ACHES
Abdominal pain, Chest pain, Headaches, Eye problems, Severe leg pain.
Discontinue pill and call provider
Depo Provera
Self administered IM q 13 weeks
Decrease seizures in epilepsy
2 weeks late maximum.
Xulane and Twirla Transdermal
Therapeutic in 24-48 hours
Change q week for 3 weeks then break for 1 week
Wear anywhere in upper torso
Vaginal Ring
2 inch diameter Keep in vagina for 21 days
low serum concentration
Increase risk of vaginitis and leukorrhea**
Emergency Contraception (3)
(LUI)
PlanB one step –> Levonorgestrel take within 3 days , IUD, UA
1) Copper IUD Implant within** 5** days of unprotected sex
2) Plan B One Step (Pill)
UPA, ELA, After, Contra, Prevents, Option 2
3) Yupze Method
se: bleeding, nausea, headache, vomiting, abdominal pain
Only Injectable contraception
BBW
Depo Provera given q 3 months
BBW for bone loss should not be used more than 2 years
Who should receive Depo
<6 weeks pp
Breastfeeding
High risk heart dz, >160/100 HTN
Common s/e of Depo
AMENORRHEA
