Contraception and infertility Flashcards
What are the phases of the menstrual cycle?
What to know about ovulation predictor kits?
What is the only contraceptive that has a delay in fertility?
23-35 days, start of bleeding is menses and is day 1 of the cycle. Follicular has surge in estrogen causing LH and FSH to increase, LH surge triggers ovulation, Luteal is the last phase where progesterone is dominant. Luteinizing hormone causes corpus luteum development.
LH surge oocyte lives for 24 hours, positive if LH is present, have intercourse while LH surge is detected and for the following 2 days.
Medroxyprogesterone injection.
When are POP or mini pills used?
What are your monophasic birth control pills?
What is your biphasic or triphasic pills?
Breastfeeding women, estrogen decreases milk productions, safe in migraines with aura.
Junel Fe 1/20, Microgestin FE 1/20, Sprintec, Loestrin 24 FE, Lo Loestrin FE
Ortho tri cyclen, tri sprintec, trinessa.
What is your quadriphasic?
What is an extended cycle?
What is continuous?
Natazia
Seasonique. Period occurs every 3 months.
Amethyst, continuously no period occurs. Patch has higher AUC than pills
What is the ring and injection?
What are the adverse effects to estrogen?
What are the progestin side effects?
Nuvaring, Depo provera, injected every 3 months.
nausea, breast tenderness, bloating, weight gain, elevated BP, spotting, higher estrogen dose if spotting occurs early to mid cycle, wait three months to see if it resolves, thrombosis, higher clotting risk(xulane transdermal patch is high). Do not use in women >35 who smoke, Depo provera bone mineral density, don’t use in DVT/PE, stroke, CAD, breast, ovarian, or liver cancer, migraines with aura. ACHES(Ab pain, Chest pain, Headaches, eye problems, swelling).
higher progestin if late cycle spotting, review potassium, increase potassium, drospirenone risk of clotting, do not use with kidney, liver, or adrenal gland, calcium and vitamin d.
What decreases hormonal contraception efficacy?
What to know about Xulane?
When to use levonogestrel?
rifampin, rifapentine and rifabutin, 6 weeks after rifampin discontinued, anticonvulsants, st johns wort, tobacco, don’t use technivie and viekira pak due to liver toxicity.
Leff effective in women >198 lbs, buttocks, stomach, upper arm, or upper torso.
use within 72 hours. Can use ulipristal acetate(ella) copper IUD paragard is the most effective form of EC.
What to know about infertility?
one year,clomiphene is a SERM, Gonadotropins trigger ovulation.
