Contraception

Question 1

How many pregnancies are unintended?

Answer 1

43%

Question 2

Average menarche

Answer 2

12.5

Question 3

Average menopause

Answer 3

51.5

Question 4

OCP MOA

Answer 4

Ethinyl Estradiol and progesterone prevent midcycle surge of LH and FSH and stop ovulation from occurring.

Question 5

Usual OCP cycle

Answer 5

21 days on, 7 off

Question 6

Lactating women get which pill?

Answer 6

Mini pill

Just progestin

Question 7

When to start taking pill

Answer 7

The first sunday after period

Question 8

Must use back-ip contraception for how long after starting pill?

Answer 8

7-14 days

Question 9

If they miss 1 pill?

Answer 9

Still protected

Question 10

If they miss 2 pills?

Answer 10

Need to use back-up for rest of cycle

Question 11

Absolute contraindications to pill

Answer 11

Thromboembolic event previously
Estrogen dependent tumor
Liver dz
Pregnancy
Women > 35 who smoke or have migraines
Known CVD

Question 12

OCP lowers risk of?

Answer 12

Dysmenorrhea
Iron deficiency anemia
Ectopic preg
Ovarian CA
Benign breast dz
Endometriosis

Question 13

OCP failure rate

Answer 13

Theoretical: .1%
Actual: 8%

Question 14

OCP SE

Answer 14

Nausea
Breast tenderness
Spotting
Amenorrhea
Fatigue
HA
Depression
Decreased libido

Question 15

Which med class interact w/ OCP’s

Answer 15

Anticonvulsants. except:

Gabapentin, lamotrigine, others

Question 16

WHich abx decrease efficacy of OCP

Answer 16

Rifampin
Tetracycline
PCN’s
Cephalosporins

Question 17

Contraceptive patch

Answer 17

20mcg estradiol
150mcg norelgestromin
Worn for 3wks, 1 week off

Question 18

Progestin only MOA

Answer 18

Inhibits gonadotropin secretion
Creates thin, atrophic endometrium
Ovum transport may be slowed

Question 19

Progestin only advantages

Answer 19

Scant or no menses
Decreased anemia
Decreased dysmenorrhea
Fewer drug interactions

Question 20

Progestin only indications

Answer 20

Breastfeeding
Older women
Adolescents
Women who cannot take estrogen (smokers, migraines, SLE)

Question 21

Depo-provera black box

Answer 21

Bone density decrease

Question 22

Depot Medroxyprogesterone Acetate

Answer 22

DMPA, Depo-provera
IM or SQ injections every 3 months
Use back up for 3 days after injection

Question 23

How long may fertility be delayed after stopping DMPA

Answer 23

18 months

Question 24

Progesterone implant

Answer 24

Single rod w/ slow release or 68mg etonogestrel.

Lasts for 3 yrs

Question 25

IUC

Answer 25

Intrauterine contraception
Approved for 3-5 yrs
Irregular bleeding as SE

Question 26

Non-hormonal IUC

Answer 26

Paragard
Approved to remain in place for 10 yrs
Used in women who cannot use hormonal
SE: Heavy menses, dysmenorrhea

Question 27

Diaphragm efficacy

Answer 27

Theoretical: 6%
Typical: 16%

Question 28

Does emergency contraception interrupt pregnancy?

Answer 28

No, it is ineffective once implantation has occured.

Question 29

How long after event can EC be taken?

Answer 29

up to 120 hrs