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Foundations-Women's Health > Contraception > Flashcards

Contraception Flashcards

1
Q

List the women more likely to experience unintended births

A
  1. Black Women
  2. Women w/ low education or income
  3. Unmarried Women
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2
Q

What is the Standard Days Method? Who is the most appropriate for?

A
  1. Women who have regular menstrual cycles: 26-32 days
  2. Must abstain from sex between days of 8-19 of cycle

*Highly motivated couples

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3
Q

What is the Calendar Method?

A
  1. 1st day of fertile period= subtract 18 days from total length of shortest menstrual cycle
  2. Last day of fertile period= subtract 11 days from total length of longest cycle
  3. Avoid sex during this time

*Must track menses x6 months before you can utilize

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4
Q

Define Cervical Mucus method

A

Abstinence with any cervical secretion until 4 days after last day of wet, car, slippery mucous

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5
Q

Define 2 day method

A

If no mucus secretions on 2 consecutive days, ok to have intercourse

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6
Q

Define Basal Body Temperature method

A

Abstain from sex from end of menstrual period until 3 days after rise in temperature (0.5-1 degrees)

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7
Q

What is the Symptothermal Method?

A

Cervical Mucus + Basal Body Temp Method
Fertile period:
First sign of ovulation until 3 days after temperature OR
4 days after peak mucus

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8
Q

What are the advantages of women controlled barrier methods?

A
  1. Immediately active: Spermicides requires 15 minutes for activation
  2. No effect on menses/hormones
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9
Q

What are the disadvantages of women controlled barrier methods?

A
  1. UTI risk: Diaphragm
  2. No HIV protection
  3. NOT for HIV+ and/or high risk for HIV
  4. Failure rate fairly high
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10
Q

Who is transdermal patches less effective in?

A

Obese women: >198 lbs

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11
Q

What are the advantages to prescribing CHC’s?

A
  1. Can be initiated at any time

2. No back up needed if started in first 5 days of bleed

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12
Q

What is the only thing you need to monitor PRIOR to starting a women on CHC’s?

A

BP

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13
Q

What is the MAIN MOA in CHC’s?

A

Suppress Ovulation=90-95%

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14
Q

CI to CHC’s

A
  1. Current breast CA
  2. Severe HTN or vascular dz (PE/DVT)
  3. Heart dz
  4. Complicated DM (or DM >20 yrs)
  5. Smoke > or equal to 15 cigs/day
  6. Migraine w/ aura
  7. Certain liver dz’s (cirrhosis) or GB dz
  8. Seizure disorders
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15
Q

What happens if you miss 1 pill?

A

Take missed pill ASAP and take next pill as usual

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16
Q

What happens if you miss 2 or more missed pills?

A
  1. Take most recent missed pill asap
  2. Remaining pills should be continued at usual time
  3. Backup contraception for 7 days
  4. Consider EC
17
Q

What is the MAIN MOA of Progestin Only pills?

A

Thickens cervical mucus to prevent sperm entry to upper reproduction tract

18
Q

What is one of the main advantages of Progestin Only pills?

A

May be used by women with CI or ADE’s to Estrogen

19
Q

Progestin Only pills SE’s

A
  1. Increased spotting/bleeding

2. Intermittent amenorrhea

20
Q

What is considered a “missed pill” in Progestin Only pills? Recommendations?

A

> 3 hrs late dose taking pill

  1. Take another pill
  2. Use back up x2 days
  3. Consider EC
21
Q

IUD CI/Limitations

A
  1. Cervical CA
  2. Purulent cervicitis
  3. Current chlamydia or gonorrhea
  4. High individual likelihood of STI exposure (partner w/ infix)
  5. Increased risk of spontaneous AB and preterm delivery if become pregnant
22
Q

With failure of the Mirena or Paragard IUD, what are women @ an increased risk for?

A

Ectopic pregnancy

23
Q

Levonorgestrel IUD MOA

A

Causes Cervical mucus to become thicker

24
Q

Copper IUD MOA

A
  1. Copper ions inhibit sperm motility

2. Inflammatory reaction in the endometrium phagocytes the sperm

25
Q

What is one of the main advantages of the Etonogestrel Implant?

A

Good for women with estrogen CI

26
Q

List the EC pills options

A
  1. Ulipristal acetate: More effective than levonorgestrel between days 3-5
  2. Levonorgestrel (Plan B)
  3. Combined Estrogen and Progestin: 2 doses-less effective and more SE’s
27
Q

How long do you need to use back up for with the use of LNG and combined estrogen/progestin EC?

A

x7 days

28
Q

Hysteroscopic sterilization MOA? How long do you need to use back up for?

A

Tubal occlusion

Backup x3 months until you have confirmed sterility

29
Q

List the risk of regret in women who are sterilized (Hysteroscopic or tubal ligation)?

A
  1. Age <30
  2. Low parity
  3. Sterilization @ time of C-section
  4. Changes in marital status
  5. Poverty
  6. Minority status
  7. Minisinformation about permanence
  8. Hurried decision
30
Q

How long do you need to use alternative contraception with a vasectomy?

A

Until 2 consecutive sperm samples who no motile sperm

Foundations-Women's Health (8 decks)

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