Contraception

Question 1

Name 8 types of contraception

Answer 1

Barrier, steroids, IUD, Family Planning, Withdrawl, Vaginal Douche, Lactation, Sterilization

Question 2

3 types of barrier method contraception

Answer 2

Condoms, Vaginal Diaphragm(may cause urinary retention), Spermicides(genital irritation)

Question 3

Contraceptive effects of E & P.

Answer 3

E = fluid retention due to decreased Na excretion, increase hepatic protein production, increase HDL, decrease LDL, increase Thrombosis.

P = mood changes, depression(dec 5HT), androgen fx(weight gain), unhealthy lipid profile

Question 4

Absolute C/I to steroid contraception

Answer 4

Pregnancy, liver dz, vascular dz, hormone dependent cancer, >/= 35 smoker, uncontrolled HTN, Migraines w/aura, DM w/vascular dz, thrombophilia

Question 5

Combination steroid contraception types

Answer 5

1. E&P oral: decrease PMDD
2. Vaginal Ring: constant blood levels
3. Transdermal Patch: increases blood levels of E&P by 60% compared to other methods

Question 6

Progestin only steroid contraception types

Answer 6

1. Depo Shot: 3m
2. Implant: 3y
3. Morning After

Question 7

IUD Contraception mechanism of action

Answer 7

Blocks sperm transport, stops implantation, destroys sperm

Question 8

Absolute C/I to IUD contraceptives

Answer 8

Prego, malignancy, salpingitis

*increases the chance of ectopic prego but if you get prego its more likely to be ectopic

Question 9

How long after ovulation can an egg be fertilized?

Answer 9

12-24 h

Question 10

How long after ejaculation can sperm survive in the vagina?

Answer 10

24-48h

Question 11

How does lactation prevent pregnancy?

Answer 11

Elevated prolactin blocks GnRH but only works for about 6months

Question 12

HOW do E&P prevent prego?

Answer 12

Estrogen blocks FSH thus inhibiting follicular maturation. Progesterone blocks LH thus preventing ovulation