Contraception Flashcards
When is a women the most fertile
3-5 days before ovulation
What do you monitor with natural family planning
Basal body temperature
Cervical mucosa
Premenstral and ovulatory sx
Why do women who are breastfeeding not have to worry about pregnancy
Infants suckling stops the release of GnRH so FSH and LH are not released therefore ovulation can not occur
What are the 3 natural methods of contraception
Natural family planning
Lacation amenorrhea
Coitus interrupt us
What method uses Nonoxynol-9
Spermicide
What does spermicide do
Disrupts sperm cell membrane and acts as a mechanical barrier
What is the only method that protects against STD and HIV
Condoms
What is a domed shaped latex or silicone device that fits into the vagina and is used with a spermacide
Diaphragm
How long must you leave a diaphragm in after intercourse
6-8 hours
What is a small soft rubber cap that fits directly over cervix
Cervical cap
How long must the cervical cap stay in place after intercourse
6-8 hours
What is a polyurethane foam sponge soaked in spermicide and inserted into the vagina
Sponge
How long must the sponge be left in after intercourse
6-8 hours
What are you at risk for if you leave a sponge in too long
TSS
What hormonal contraceptive is the most commonly used
Oral contraceptives
What does estrogen do in OCP
Superstars FSH secreation inhibiting follicular maturation
What does progestin do in OCP
Suppresses LH secreation, blocking ovulation
What horomone in OCP makes the endometrium unfavorable for implantation and thick hostile mucous
Progestone
What is a monophasic OCP
Constant same dose of progesterone and estrogen
What is a multiphasic OCP
Variable doses of estrogen and progesterone
What are some side effects of OCP
Weight gain, nausea, HA, abnormal bleeding, breast tenderness
What is the most common reason for ppl to stop taking their PPI
Irregular bleeding
How do you use a transdermal patch
Apply 1 patch to torso every 7 days for 3 weeks then no patch for one week
How do you use the vaginal ring
Insert ring vaginally and leave in 3-4 weeks then remove for one week
Can you use tampons when a vaginal ring is in
Yes
When do you need to take the mini pill
Same time every day it is a progesterone only pill
What method of contraception can be started immediately post-partum and is safe with breast-feeding
Progestin only pill “mini pill”
What are some side effects of the mini pill
Irregular bleeding
Increased overian cyst
Increased risk of DM
What type of contraception is best for a women who has a contraindication to estrogen
Injection (Depo-provara)
How often does one need to get the depo shot
Every 3 months
With the implant after removal how long does it take menses to return
3-6 weeks
How long does it take menses to return after stopping the depo provara shot
6 months
What contraception gives 3 years of protection
Implant
What contraception in inserted into the uterus for 5 years
Intrauterine device (Mirena)
When do you want to place an IUD
Within 7 days of menses when cervical canal is dilated.
It is immediately affective
What happens when a man gets a vasectomy
Vas deferens tied, cut, and occluded
Can the morning after pill cause an abortion or miscarrage
No it will not stop a pregnancy if the egg is already fertilized and will not stop implantation
