Contraception Flashcards

1
Q

2 most popular methods

A

OCP and condom

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2
Q

what is pearl index

A

failure rate per 100, typical and perfect

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3
Q

4 non-hormonal

A
  1. fert. awareness
  2. lactartional amenorrhea
  3. bariers/spermicide
  4. copper IUD
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4
Q

2 types of hormonal

A
  1. OCP

2. long acting - depo and mirena

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5
Q

what is awareness method

A

avoid sex during fertile period (~6 days)

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6
Q

methods to tell when ovualtig

A
  • calender
  • mucous
  • temp (up 0.5)
  • ovulation detection
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7
Q

what is rules of 4 for lactational method

A
  • 4 weeks for non-breast feeding
    4 months if breast feeding
    4 hours during day and 6 at night
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8
Q

what is permicide

A

nonoxynyl 9 - inserted before

- best used as an add-on

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9
Q

what are barrier methods

A

condoms

  • diaphragm
  • cervical cap
  • lea shield
  • sponge
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10
Q

risk for barrier method

A
  • inconsistent use

- age

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11
Q

feat. of diaphragm

A

must be fitted
fail 6-20%
- some STI protect

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12
Q

2 types of IUD and MOA**

A
  1. copper - toxic to sperms
  2. levonorgestrel
    - thickens mucus
    - alteres tubal transport
    - alters uterine lining
    - ihbibits ovulation
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13
Q

adv of mirena

A

adds control of menorrhagia and dysmenorrhea

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14
Q

IUD risks/issues

A
  • expulsion
  • perf
  • vasovagal on insertion
  • pevic infection related to STI
  • higher miscarriage and ectopic
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15
Q

5 contraindicartions to IUD

A
  1. PID
  2. distorted cavity due to fibroids
  3. undiagnosed bleeds
  4. wilson’s disease (copper)
  5. immunocomp
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16
Q

2 types of OCP

A
  1. combined

2. prog. only

17
Q

reason to add E

A

for cycle control - less breakthrough bleeds

18
Q

MOA of combined (4)

A
  1. inhibs ovulation by LH/FSH supress
  2. thickens mucus
  3. decidualizing endo
  4. affecting tubal transport
19
Q

non contraceptive benfits of OCP

A
less
- flow
acne
ovarian cancer
cysts
fobrocytic breast disease
20
Q

OCP SEs

A

nuisance

  • headaches
  • bleeds
  • depression
  • bloating
21
Q

main risk of OCP

A

VTE

- stroke and MI in smokers

22
Q

what are SEs due to

A

E only, progesterone alone is safe

23
Q

what is realistic risk of VTE

A

very low, lower than that of being preg

24
Q

3 ways to imprve compliance in OCP

A
  1. risg
  2. continuous
  3. patch
25
why 21/7
to mimic real life, no good evidence for it | - continuous is fine
26
what is adv. of 24/4
better in case miss a pill - no follicle develops
27
how to take prog (issues)
must eb taken within 3 hours of same time every days | - slightly less effective
28
what is in all long acting
progestin only
29
what is depo
very effective - may take 9 months to get back period - less bleeds
30
disadv with depo
1. irregular bleeds 2. weight gain 3. mood 4. may decrease bone density
31
3 contra to depo
1. breast cancer 2. undiagnosed vaginal bleeding 3. severe liver disease
32
2 methods of emercency
1. hormonal (72hrs) | 2. IUD insertion (5 days)
33
2 hormonal types
1. yuzpe 2x 100 estradiol (can use any OCP) | 2. 2x progestin
34
safety of EC
no absolute contra, except known preg. | - won't interfere with estabished preg
35
what is more recent EC
can maybe just do one dose