CONTRACEPTION & FERTILITY Flashcards

1
Q

FOLATE RECOMMENDATIONS

A

400 MCG FOR ADULTS
600 MCG ONCE PREGNANT

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2
Q

WHICH FORM OF CONTRACEPTION HAS A DELAY IN RETURN TO FERTILITY

A

MEDROXYPROGESTERONE INJECTION

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3
Q

WHAT FORM OF ESTROGEN IS FOUND IN COC’S

A

ETHINYL ESTRADIOL (EE)

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4
Q

WHICH FORM OF PROGESTIN IS FOUND IN COC’S

A

NORETHINDRONE
LEVNORGESTREL
DROSPIRENONE

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5
Q

WHAT MAKES DROSPERINONE UNIQUE

A

REDUCES ADVERSE EFFECTS COMMONLY SEEN WITH CONTRACEPTIVES
MILD POTASSIUM-SPARING DIURETIC WHICH ↓ BLOATING

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6
Q

WHICH PROGESTINS HAVE LOW ANDROGEN ACTIVITY

A

DROSPIRENONE
NORGESTIMATE

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7
Q

WHICH OTHER INDICATIONS ARE COC’S USED FOR

A

DYSMENORRHEA (MESTRUAL CRAMPS)
PREMENSTRUAL SYNDROME (PMS)
ANEMIA
REGULATE MENSES IN POS
ENODMETRIOSIS

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8
Q

WHEN ARE POPs OR MINI PILLS USED

A

PRIMARILY IN THOSE BREASTFEEDING
CI OR INTOLERANCE TO ESTROGEN

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9
Q

WHICH TYPE OF CONTRACEPTIVES IS COMMONLY USED FOR MIGRAINES WITH AURAS

A

POPs

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10
Q

POPs REQUIRE GOOD ADHERENCE. HOW SHOULD THE PILL BE TAKEN

A

WITHIN 3 HOURS OF SCHEDULED DOSE

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11
Q

CONTRACEPTIVE PATCH IS LESS EFFECTIVE IN WHO

A

XULANE > 198 LBS
TWIRLA > 30 BMI

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12
Q

WHO SHOULD NOT USE PATCHES

A

WOMEN > 35 YEARS WHO SMOKE

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13
Q

HOW IS DEPO-PROVERA DOSED

A

IM OR SC EVERY 3 MONTHS

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14
Q

WHEN DOES BLEEDING OCCUR IF USING CONTRACEPTION

A

DURING WEEK 4 USING PLACEBO PILLS

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15
Q

WHAT DOES EXTENDED CYCLE COC’S DO

A

INVOLVE 84 DAYS OF ACTIVE HORMONAL PILLS
HAVE PERIOD EVERY 3 MONTHS

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16
Q

WHICH COC IS INDICATED FOR CONTINUOUUS MENSES SUPPRESSION

A

AMETHYST

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17
Q

GENERAL TIP FOR CONTRACEPTION NAMES:
“LO” INDICATES

A

≤ 35 MCG OF ESTROGEN

18
Q

GENERAL TIP FOR CONTRACEPTION NAMES:
“FE” INDICATES

A

AN IRON SUPPLEMENT IS INCLUDED

19
Q

GENERAL TIP FOR CONTRACEPTION NAMES:
“24” INDICATES

A

SHORTER PLACEBO TIME
24 ACTIVE + 4 PLACEBO = 28 DAY CYCLE

20
Q

PROGESTIN ONLY CONTRACEPTIVE NAMES

A

ERRIN
CAMILLA
NORA-BE
(NORETHINDRONE)

21
Q

DROSPIRENONE CONTAINING FORMULATION NAMES

A

YASMIN 28
YAZ

22
Q

EXTENDED CYCLE FORMULATION NAMES

A

SEASONIQUE

23
Q

BIPHASIC AND TRIPHASIC FORMULATION NAMES

A

ORTHO TRI-CYCLEAN LO
TRI-SPRINTEC

24
Q

MONOPHASIC FORMULATIONS NAMES

A

JUNEL
MICROGESTIN
SPRINTEC
LOESTRIN
YASMIN
YAZ
LO LOESTRIN

25
ESTROGEN RELATED SIDE EFFECTS
NAUSEA BREAST TENDERNESS BLOATING/WEIGHT GAIN INCREASED BP
26
SIGNS OF BREAKTHROUGH BLEEDING CAN INDICATE
TOO LOW OF ESTROGEN
27
DO NOT USE ESTROGENS IN THESE CONDITIONS
HISTORY OF ANY CLOT CANCER MIGRAINES WITH AURA
28
WHICH CONTRACEPTION SHOULD BE USED? ACNE OR HIRSUTISM
COC WITH LOWER ANDROGEN ACTIVITY OR NO ANDROGENIC ACTIVITY NORGESTIMATE OR DROSPIRENONE
29
WHICH CONTRACEPTION SHOULD BE USED? BREASTFEEDING
POP OR NONHORMONAL METHOD
30
WHICH CONTRACEPTION SHOULD BE USED? MIGRAINE
WITH AURA = POP OR NON HORMONAL W/OUT AURA = ANY
31
WHICH CONTRACEPTION SHOULD BE USED? FLUID RETENTION OR BLOATING
USE DROSPIRENONE
32
WHICH CONTRACEPTION SHOULD BE USED? HEAVY MENSTRUAL BLEEDING
COC NATAZIA OR IUD MIRENA CAN DO SHORTER PLACEBO PERIOD OR CONTINUOUS
33
WHICH CONTRACEPTION SHOULD BE USED? HTN
POP OR NONHORMONAL
34
WHICH CONTRACEPTION SHOULD BE USED? MOOD CHANGES OR DISORDER
MONOPHASIC COC EXTENDED CUCLE OR CONTINUOUS WITH DROSPIRENONE IS PREFERRED
35
WHICH CONTRACEPTION SHOULD BE USED? PREMENSTRUAL DYSPHORIC DISORDER
YAZ OR ANTIDEPRESSANT
36
COC MISSED DOSES 1 LATE OR MISSED DOSES
TAKE ASAP AND TAKE NEXT ON SCHEDULE BACK UP NOT NEEDED EC NOT NEEDED
37
COC MISSED DOSES 2 LATE OR MISSED DOSES
TAKE MOST RECENT MISSED DOSE ASAP, DISCARD ANY EXTRA IF MISSED DOSE DURING WEEK 3, SKIP HORMONE FREE WEEK AND START NEXT PACK BACK UP NEEDED FOR 7 DAYS EC CAN BE CONSIDERED
38
POP MISSED DOSE
IF >3 HOURS PAST SCHEDULED, TAKE ASAP BACK UP NEEDED FOR 48 HOURS CONSIDER EC IF UNPROTECTED SEX IN LAST 5 DAYS
39
WHAT AGENTS ARE USED IN INFERTILITY
CLOMIPHENE (SERM) LETROZOLE GONADOTROPICS hCG
40
WHICH FIRTILITY MEDICATIONS INCREASE RISK OF MULTIPLE BIRTHS
GONADOTROPINS CLOMIPHENE
41
CLOMIPHENE SIDE EFFECTS
HOT FLASHES INCREASED CLOTTING RISK