Contraception

Question 1

What is the average pregnancy rate?

Answer 1

85%

Question 2

What is the most used contraception method?

Answer 2

Male Condom 54%

Question 3

Why are oil based lubricants not recommended?

Answer 3

They destroy latex products and provides a breeding ground for bacteria growth inside the vagina.

Question 4

What are the ingredients for water based lubricants?

Answer 4

• Glycerin or hydroxyethyl cellulose
• aloe vera/vitamin E
• pH balancing agent
• preservative

Question 5

Which lubricant can be used under water?

Answer 5

Silicon based

Question 6

Which lubricant may require more frequent application?

Answer 6

Water-based because it tends to dry out

Question 7

T or F. Not all silicon products are compatible with latex.

Answer 7

True

Question 8

T or F. Vaginal creams are safe to use with latex condoms.

Answer 8

False. Need to wait 3 days before using latex products.

Question 9

T or F. Spermicides are considered a barrier method.

Answer 9

True

Question 10

What is the failure rate for spermicides?

Answer 10

18-29%

Question 11

What is the MOA of spermicides?

Answer 11

Spermicides act as surfactants that destroy the sperm cell membrane by altering the lipid layer causing it to become permeable and swell and break.

Question 12

What is the minimum effective dose for spermicides?

Answer 12

100mg Nonoxynol-9

Question 13

What is ContraGel Green?

Answer 13

Marketed as natural alternative to N-9 spermicides; contains lactic acid which reduces pH of vagina and thereby reducing sperm motility

Question 14

Douching is not recommended due to it’s association with…

Answer 14

Vaginal irritation
Bacterial vaginosis
STI
PID
poor reproductive outcomes

Question 15

Risk of pregnancy is higher in latex or polyurethane condoms?

Answer 15

Polyurethane condoms so latex is more effective at preventing pregnancies

Question 16

Polyisoprene is better than polyurethane in what ways?

Answer 16

More resistant to breakage, less noisy

Question 17

Which of the newer condoms is similar to latex in terms of cost and preventing pregnancy and STI?

Answer 17

Polyisoprene

Question 18

Why are lamb skin condoms no longer recommended?

Answer 18

Small pores on the lamb skin allows viruses to pass through so they have no protection against STI

Question 19

What is the material used to make 1st generation female condom, and what’s the material for 2nd gen?

Answer 19

Polyurethane is used in 1st generation and nitrile rubber is used in 2nd generation

Question 20

T or F. Female condoms deteriorate when exposed to oil-based products.

Answer 20

False

Question 21

Which contraceptive method is most effective against HIV infections?

Answer 21

Male condoms

Question 22

When should a diaphragm/cervical cap be inserted before sex?

Answer 22

30 minutes before

Question 23

How much spermicide should be applied to diaphragm and how much to caps?

Answer 23

1 tsp (5mL) to diaphragm and 1/4 tsp to caps

Question 24

How long can a diaphragm be kept inside?

Answer 24

24 hours after insertion

Question 25

How long should a diaphragm/cap be kept on before removal?

Answer 25

6-8 hours after intercourse

Question 26

Which contraceptive method is most associated with Toxic Shock Syndrome?

Answer 26

Diaphragm and caps

Question 27

T or F. Caps and diaphragms have similar failure rates.

Answer 27

False, caps have higher failure rates

Question 28

What is the current abortion rate among women ages 15-44?

Answer 28

12-16 per 1000 women

Question 29

Which ingredient in water-based lubricants can exacerbate yeast infections?

Answer 29

Glycerin

Question 30

ContraGel Green is compatible with latex, silicone and polyurethrane devices and should not be used on its own. T or F

Answer 30

True

Question 31

Spermicides are not safe to use when menstruating. T or F

Answer 31

False, it's safe to use when menstruating

Question 32

Spermicides lose their effectiveness in ____ and should be reapplied if intercourse has not occurred.

Answer 32

30-60 minutes

Question 33

Polyurethrane condoms are compatible with oil-based lubricants. T or F

Answer 33

True

Question 34

The cervical cap should not be used by women who have:

Answer 34

- abnormally shaped cervix - history of recurrent PID - cervicitis - abnormal Pap smears

Question 35

Which Cap size is for women who were pregnant before but not vaginal delivery? 22mm, 26mm, 30mm?

Answer 35

26mm

Question 36

How can a woman reduce the risk of UTI when using a diaphragm or cap?

Answer 36

Empty bladder before insertion

Question 37

Caps cannot be used during menstruation while with diaphragm, it's not recommended.

Answer 37

Yes

Question 38

What material is contraceptive sponge made of?

Answer 38

Polyurethane

Question 39

Which 2 contraceptives cannot be used during menstruation?

Answer 39

Contraceptive sponge and caps

Question 40

Contraceptive Sponge can provide continuous protection for ___ to ___ hours.

Answer 40

12 to 24 hours

Question 41

How much spermicide is contained in a contraceptive sponge?

Answer 41

1000mg nonoxynol-9

Question 42

Laparoscopic surgery

Answer 42

fallopian tubes are cut, tied or cauterized

Question 43

Transcervical sterilization

Answer 43

chemical, mechanical or thermal means to occlude the fallopian tubes - effective in 3-6 months