contraception Flashcards
most common methods of contraception
sterilization (16% in women)
Oral contraception and Condoms (16%)
IUD (7%)
Withdrawal (5%)
Injectable (4%)
Vaginal Ring (2%)
Patch/Implant/Abstinence (1%)
most common methods of contraception internationally?
Sterilziation and IUD
precontraceptive eval
hx
pregnancy test
BO (for OCPs), weight, BMI
Chlamydia screening
Pap.pelvic
what are indications for precontraceptive eval to test for pregnancy test, chlamydia and do a pap/pelvic
pregnancy test is the woman hasn’t just menstruated, no intercourse since last menses, within a week of an abortion or normal menses, within 4 weeks of giving birth, breastfeeding up to 6 mos pp
chlamydia: if younger than 25
Pap: if older than 21, pelvic exam, cervical inspection prior to IUD insertion
benefits of OCPs?
decrease risk of PID
decrease acne
decrease fibrocystic breast change
decrease iron deficiency anemia
increase protection against ovarian/uterine cancer
risks of OCPs
VTs
stroke/MI risk (smoking and htn risks for this)
there is no proven risk for increasing breast cancer risk.
Drugs that decrease efficacy of contraception
Rifampin
Anticonvulsants except depakote
Griseofulvin
HIV meds
Progestin only contraception iin
sickle cell
post partum
clotting
migraines with aura
what’s important about the “mini pill” or progestin only pill?
can’t skip a day—–will get pregnant
contraindications in the hormonal contraception
breast cancer
endometrial cancer
migraine and aura
clotting disorder
cirrhosis
iud types
copper and mirena
iud good for sickle cell?
mirena because copper causes more bleeding
what do the combination OCPs do that prevents pregnancy?
prevents the LH surge
what do emergency contraception do?
prevents ovulation but doesn’t prevent impantation
transdermal patches have higher risk for?
thrombus and the efficacy is reduce if pt is obese
