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OBGYN rotation review > contraception > Flashcards

contraception Flashcards

1
Q

what emergency contraception can be taken within 5 days of unprotected sex

A

Paragard IUD placement Ella (Selective Receptor Modulator)

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2
Q

what emergency contraception can be taken within 72 hours of unprotected sex

A

Plan B or Preven (2 oral tablets)

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3
Q

MOA of hormonal contraception

(POP, OCP, depo, implant, IUD)

A

suppresses ovulation

thickens cervical mucous

thins endometrial lining

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4
Q

absolute contraindications for:

combo oral contraceptives

transdermal contraception (ring/ patch)

A

CAD

uncontrolled HTN

uncontrolled DM

complex migraines (incl. aura)

hx of VTE

hormone sensitive CA

smoker over the age of 35

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5
Q

who is typically given the POP

A

postpartum moms who are breastfeeding

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6
Q

estrogen contraindications

A

immediately postpartum period

hx of VTE

hx of CVD

smoker over the age of 35

classic migraines

liver dysfunction

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7
Q

side effects of POP

A

spotting

depression

hair/skin changes

libido change

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8
Q

side effects of depo

A

spotting

anovulation

weight gain

depression

hair/skin changes

libido changes

delay in pregnancy once the shot is DC’d

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9
Q

implant (nexplanon) side effects

A

irregular bleeding

+/- anovulation after 1 year

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10
Q

progestin IUD (mirena, skyla, liletta, kyleena) side effects

A

lighter periods/ spotting/ anovulation

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11
Q

non-contraceptive benefits of OCPs

A

cycle regulation

treats heavy menses and dysmenorrhea

treats acne

prevents ovarian cysts

prevents endometrial, ovarian, and colon CA

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12
Q

which contraceptive method does not need backup contraception until it goes into effect

A

copper IUD (paragaurd)

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13
Q

do you need to do a cervical and bi-manual exam before starting contraception

A

only for IUD placement (copper or levonorgestrel releasing)

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14
Q

which contraceptive method needs a BP measurement prior to initiation

A

combo oral contraceptives

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15
Q

Which contraceptive methods need backup contraception if it’s been more than 5 days since menses began? For how long do you need to use backup contraception?

A
  • use back up for 7 days:
    • hormonal IUD
    • implant
    • depo
    • combo oral contraceptives
  • use back up for 2 days:
    • POP
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16
Q

when can you start contraception

A

anytime

as long as you’re certain that the woman is not pregnant

and even if pregnant for paragaurd

17
Q

what is the hormone in depo

A

medroxyprogesterone acetate

18
Q

contraindications for depo

A

NO absolute contraindications!!

but caution w/: DM, HTN, CVD

19
Q

depo side effects

A

irregular cycles

amenorrhea

bone mineral density loss

20
Q

combo oral contraceptives

and

transdermal contraception (ring/ patch)

should be used with caution for patients with:

A

DM

HTN

smokers under 35

common migraines (no aura)

controlled liver disease

21
Q

what are long acting reversible contraceptives?

A

IUDs and implants

22
Q

subdermal implants: brands?

what hormones do they contain?

A

brands- implanon, nexplanon

hormone- progestin only

23
Q

sub dermal implant contraindications

A

allergy to materials

24
Q

hormonal IUDs: brands?

what hormones?

A

brands- mirena, skyla, liletta

hormone- progestin

25
Q

non-hormonal (copper) IUD: brand?

A

paragard

26
Q

side effects of IUDs

A

hormonal- follicular cysts

non-hormonal- inflammatory

27
Q

contraindications for IUDs

A

active infection

uterine anomaly

untreated cervical disease

sensitivity to copper (w/ Paragard)

28
Q

non-contraceptive benefits of IUDs

A

treats menorrhagia

Paragard does emergency contraception

29
Q

when placing an IUD, how long should you cut the strings

A

1.5 cm

30
Q

benefits of long acting reversible contraceptives

(what you can tell pt)

A

eliminates user error b/c they don’t have to remember to do anything

hormonal levels are continuous which is lessens chance of ovulation

less visits to the OBGYN (cheaper)

one less thing for mom to remember

allows mom to plan her pregnancies better

31
Q

what are the options for “tube tying” (sterilization)?

A

laproscopic

post partum via mini laprotomy

32
Q

laparoscopic sterilization requires what?

A

intubation

general anesthesia

hospital/ surgery center

(outpatient)

33
Q

When doing a well womans visit, what are the 5 P’s you should discuss when taking a history

A
  • Partners
    • M/W/Both
    • how many in the last year
    • when was the last time you had sex)
  • Practices- oral/vaginal/ anal?
  • Prevention of pregnancy
    • do you want to become pregnant?
    • what are you doing to prevent pregnancy
  • Prevention of STI’s (freq of condom use)
  • Past hx of STIs (theirs and their partners)

OBGYN rotation review (14 decks)

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