Contraception Flashcards

1
Q

How many pregnancies are unintended?

A

43%

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2
Q

Average menarche

A

12.5

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3
Q

Average menopause

A

51.5

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4
Q

OCP MOA

A

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

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5
Q

Usual OCP cycle

A

21 days on, 7 off

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6
Q

Lactating women get which pill?

A

Mini pill

Just progestin

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7
Q

When to start taking pill

A

The first sunday after period

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8
Q

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

A

7-14 days

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9
Q

If they miss 1 pill?

A

Still protected

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10
Q

If they miss 2 pills?

A

Need to use back-up for rest of cycle

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11
Q

Absolute contraindications to pill

A
Thromboembolic event previously
Estrogen dependent tumor
Liver dz
Pregnancy
Women > 35 who smoke or have migraines
Known CVD
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12
Q

OCP lowers risk of?

A
Dysmenorrhea
Iron deficiency anemia
Ectopic preg
Ovarian CA
Benign breast dz
Endometriosis
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13
Q

OCP failure rate

A

Theoretical: .1%
Actual: 8%

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14
Q

OCP SE

A
Nausea
Breast tenderness
Spotting
Amenorrhea
Fatigue
HA
Depression
Decreased libido
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15
Q

Which med class interact w/ OCP’s

A

Anticonvulsants. except:

Gabapentin, lamotrigine, others

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16
Q

WHich abx decrease efficacy of OCP

A

Rifampin
Tetracycline
PCN’s
Cephalosporins

17
Q

Contraceptive patch

A

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

18
Q

Progestin only MOA

A

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

19
Q

Progestin only advantages

A

Scant or no menses
Decreased anemia
Decreased dysmenorrhea
Fewer drug interactions

20
Q

Progestin only indications

A

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

21
Q

Depo-provera black box

A

Bone density decrease

22
Q

Depot Medroxyprogesterone Acetate

A

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

23
Q

How long may fertility be delayed after stopping DMPA

A

18 months

24
Q

Progesterone implant

A

Single rod w/ slow release or 68mg etonogestrel.

Lasts for 3 yrs

25
Q

IUC

A

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

26
Q

Non-hormonal IUC

A

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

27
Q

Diaphragm efficacy

A

Theoretical: 6%
Typical: 16%

28
Q

Does emergency contraception interrupt pregnancy?

A

No, it is ineffective once implantation has occured.

29
Q

How long after event can EC be taken?

A

up to 120 hrs