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Men and Women's Health > Contraception > Flashcards

Contraception Flashcards

1
Q

Pill - contents

A

Estrogen + Progestin

Progestin only

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2
Q

Estrogen - ethinyl estradiol

A

Prevent ovulation by suppressing GnR factors
Prevents FSH and LH secretion
Hepatic metabolism

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3
Q

Progestin - synthetic progesterone-like compound

A

Suppresses LH
Thickens cervical mucus
Endometrium incapable of implantation
Some hepatic metabolism

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4
Q

Progestin - Drosperinone

A

Aldosterone antagonism analog
~25 mg spironolactone
Monitor K
Caution with ACEIs and ARBs

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5
Q

Pill - other components

A

Iron - anemia

Folate - prevent neural tube defects

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6
Q

Pill - Monophasic

A

Consistent estrogen and progestin dose throughout cycle

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7
Q

Pill - Biphasic

A

Estrogen/progestin ratio varies one time during cycle

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8
Q

Pill - Triphasic

A

Estrogen/progestin ratio varies twice during cycle

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9
Q

Pill - Four-phasic

A

Initial high estrogen - dose red durign proliferative/follicular phase
Initial low progestin - dose increase during secretory/luteal phase

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10
Q

Pill - extended cycle

A

Monophasic with 84 days active/7 days placebo or 24 days active/4 days placebo

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11
Q

Pill - continuous cycle

A

No placebo

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12
Q

Pill - drug interactions

A

rifampin, griseofulvin, phenytoin, phenobarbital, carbamazepine, primidone, ethosuximide, tetracyclin, doxycycline, PCNs, cipro, ofloxacin, telaprevic, tipranavir, elvitegravir

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13
Q

Pill - not recommended for

A

Women > 35 w/ uncontrolled HTN, DM + vascular dz, smoking

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14
Q

Pill - thromboembolism risks

A

Protein C/S deficiency

HTN, obesity, DM, smoker, sedentary lifestyle

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15
Q

How long is the patch effective for?

A

9 days

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16
Q

How long is Nuvaring effective for?

A

Up to 4 weeks

17
Q

How long is Nuvaring good until?

A

4 months after removal from fridge

18
Q

How long is nexplanon effective for?

A

3 years

19
Q

Nexplanon - Caution with

A

Body weight > 30% than IBW

20
Q

Nexplanon - AE

A

irregular menses, weight gain, acne

21
Q

How long is the copper IUD effective for?

A

10 years

22
Q

How does the copper IUD work?

A

Spermicidal, thickens cervical mucus, release of leukotrienes and prostaglandins by endometrium, environment not preferable to eggs/sperm

23
Q

Which contraceptive causes decreased BMD?

A

Progestin injections

24
Q

What are the contraindications with IUDs?

A

PID, STD, Post-abortion sepsis, purulent cervicitis, abnormal vaginal bleeding, malignancy of genital tract, uterine abnormalities

25
Q

Future fertility - OCs

A

1-2 weeks

26
Q

Future fertility - Patch

A

1-2 weeks

27
Q

Future fertility - Ring

A

1-2 weeks

28
Q

Future fertility - Injection

A

10 months

29
Q

Future fertility - Implant

A

30 days

30
Q

Future fertility - IUD

A

Immediate - 30 days

31
Q

Future fertility - POP

A

Immediate - 1 week

32
Q

Estrogen monotherapy

A

Increased risk of endometrial hyperplasia and cancer

Must combine with progestin

33
Q

Which emergency contraceptive is Rx only?

A

Ella

Men and Women's Health (3 decks)

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