Contraception Flashcards
Diaphragm instructions
coat with approximately 1 tsp of spermicide inside the dome and rim
insert less than 3 hours before coitus
leave in place for at least 6 hours after intercourse
but no more than 24 hours
if another act of intercourse occurs, the diaphragm should not be removed
apply another application of spermicide intravaginally
What is ACHES related to COC
A = abdominal pain
C= chest pain
H= headache (severe)
E= vision changes
S = severe leg pain or swelling in leg or calf
Action of estrogen in COC
stabilize the endometrium for less unschedule bleeding
Suppresses pituitary release of LH and FSH
3 essential condition for Lactational Amenorrhea Method (LAM)
The nursing infant is 6 months or less
The nursing infant receives all nutrition from suckling, with no more than 5% from food or formulation supplementation, and is nursing on demand with no more than 4 hours between feeds in the daytime and no more than 6 hours between feeds at night
Maternal menses has not returned since the infant birth
Maximum life span of a ovum
12 - 24 hours
maximum life span of a sperm after ejaculation
3-5 days
Cervical cap advantages
it can be inserted as long as 42 hours before intercourse
avoids interruption of foreplay
leave in place for 6 hours after intercourse
if inserted more than 24 hours prior to coitus,
an application of spermicide should be added without removing the cap
lipophilic intracellular hormone (of Estrogen)
increases the plasma concentrations of clotting factors
increased risk of VTE
Non contraceptive benefits of COC
Decrease risk for benign breast disease
Decrease risk for endometrial cancer
Decrease risk for ovarian cancer
Using the calendar method for contraception
Track menstrual cycle for several months
Subject 11 from longest recorded days
Subject 18 from shortest recorded days
How long can the cervical cap stay in place after intercourse
up to 48 hours
how long can diaphragm stay in place after intercourse
no longer than 24 hours
Advantage of continuous combined HT over continuous cycle HR
Lower cumulative dose of progestin
Estrogen and progestogen are taken every day with a continuous-combined HT regimen with lower cumulative dose of progestogen than continuous cycle HT regimen
in which
estrogen is taken every day and larger dose of progestogen are added 10 to 14 days each month
Drugs that increase the production of cytochrome P-450 may decrease the effectiveness of COC by
Increase in first past metabolism in the liver
