Contraception Flashcards
1
Q
Which medications are likely to lead to contraceptive failure?
A
- rifampin
- anticonvulsants
- antifungals
- HIV medications
2
Q
What are the advantages to extended vs 28 day cycle OCPs?
A
with extended:
- fewer headaches, less genital irritation, fatigue, bloating, dysmenorrhea
3
Q
What vital requires monitoring when taking combined OCP?
A
BP
4
Q
If pt has uncontrolled BP what contraceptive would be more appropriate?
- OCP
- progestin only options
A
- progestin only options
5
Q
Depot Medroxyprogesterone Acetate decreases estrogen which decreases bone density. What precautions should be taken?
A
- ACOG no longer recommends limiting injections to 2 years
- dont routinely monito bone density
- Recommend 1300 mg calcium and 600 IU vitamin D3 daily
- participate in weight bearing exercise
6
Q
What medical history would make progestin-only methods more appropriate than combined hormonal therapies?
A
- smoking or obesity AND age > 35
- HTN with vascular disease or age > 35
- lupus with vascular disease, nephritis
- Migraine with focal aura
- history of VTE associated with pregnancy or estrogen unless on anticoagulation
- CAD or Cerebrovascular disease
7
Q
According to ACOG, what is the time limit (in hours) for use of emergency contraception?
A
120 hours = 5 days
8
Q
In North carolina what form of plan B is available?
A
- 1.5 mg levonogestrel is available OTC without age restriction
- may be taken up to 3 days (off label up to 5 days) post coitally
- FDA approved
