CONTRACEPTION & FERTILITY Flashcards
FOLATE RECOMMENDATIONS
400 MCG FOR ADULTS
600 MCG ONCE PREGNANT
WHICH FORM OF CONTRACEPTION HAS A DELAY IN RETURN TO FERTILITY
MEDROXYPROGESTERONE INJECTION
WHAT FORM OF ESTROGEN IS FOUND IN COC’S
ETHINYL ESTRADIOL (EE)
WHICH FORM OF PROGESTIN IS FOUND IN COC’S
NORETHINDRONE
LEVNORGESTREL
DROSPIRENONE
WHAT MAKES DROSPERINONE UNIQUE
REDUCES ADVERSE EFFECTS COMMONLY SEEN WITH CONTRACEPTIVES
MILD POTASSIUM-SPARING DIURETIC WHICH ↓ BLOATING
WHICH PROGESTINS HAVE LOW ANDROGEN ACTIVITY
DROSPIRENONE
NORGESTIMATE
WHICH OTHER INDICATIONS ARE COC’S USED FOR
DYSMENORRHEA (MESTRUAL CRAMPS)
PREMENSTRUAL SYNDROME (PMS)
ANEMIA
REGULATE MENSES IN POS
ENODMETRIOSIS
WHEN ARE POPs OR MINI PILLS USED
PRIMARILY IN THOSE BREASTFEEDING
CI OR INTOLERANCE TO ESTROGEN
WHICH TYPE OF CONTRACEPTIVES IS COMMONLY USED FOR MIGRAINES WITH AURAS
POPs
POPs REQUIRE GOOD ADHERENCE. HOW SHOULD THE PILL BE TAKEN
WITHIN 3 HOURS OF SCHEDULED DOSE
CONTRACEPTIVE PATCH IS LESS EFFECTIVE IN WHO
XULANE > 198 LBS
TWIRLA > 30 BMI
WHO SHOULD NOT USE PATCHES
WOMEN > 35 YEARS WHO SMOKE
HOW IS DEPO-PROVERA DOSED
IM OR SC EVERY 3 MONTHS
WHEN DOES BLEEDING OCCUR IF USING CONTRACEPTION
DURING WEEK 4 USING PLACEBO PILLS
WHAT DOES EXTENDED CYCLE COC’S DO
INVOLVE 84 DAYS OF ACTIVE HORMONAL PILLS
HAVE PERIOD EVERY 3 MONTHS
WHICH COC IS INDICATED FOR CONTINUOUUS MENSES SUPPRESSION
AMETHYST
GENERAL TIP FOR CONTRACEPTION NAMES:
“LO” INDICATES
≤ 35 MCG OF ESTROGEN
GENERAL TIP FOR CONTRACEPTION NAMES:
“FE” INDICATES
AN IRON SUPPLEMENT IS INCLUDED
GENERAL TIP FOR CONTRACEPTION NAMES:
“24” INDICATES
SHORTER PLACEBO TIME
24 ACTIVE + 4 PLACEBO = 28 DAY CYCLE
PROGESTIN ONLY CONTRACEPTIVE NAMES
ERRIN
CAMILLA
NORA-BE
(NORETHINDRONE)
DROSPIRENONE CONTAINING FORMULATION NAMES
YASMIN 28
YAZ
EXTENDED CYCLE FORMULATION NAMES
SEASONIQUE
BIPHASIC AND TRIPHASIC FORMULATION NAMES
ORTHO TRI-CYCLEAN LO
TRI-SPRINTEC
MONOPHASIC FORMULATIONS NAMES
JUNEL
MICROGESTIN
SPRINTEC
LOESTRIN
YASMIN
YAZ
LO LOESTRIN
ESTROGEN RELATED SIDE EFFECTS
NAUSEA
BREAST TENDERNESS
BLOATING/WEIGHT GAIN
INCREASED BP
SIGNS OF BREAKTHROUGH BLEEDING CAN INDICATE
TOO LOW OF ESTROGEN
DO NOT USE ESTROGENS IN THESE CONDITIONS
HISTORY OF ANY CLOT
CANCER
MIGRAINES WITH AURA
WHICH CONTRACEPTION SHOULD BE USED?
ACNE OR HIRSUTISM
COC WITH LOWER ANDROGEN ACTIVITY OR NO ANDROGENIC ACTIVITY
NORGESTIMATE OR DROSPIRENONE
WHICH CONTRACEPTION SHOULD BE USED?
BREASTFEEDING
POP OR NONHORMONAL METHOD
WHICH CONTRACEPTION SHOULD BE USED?
MIGRAINE
WITH AURA = POP OR NON HORMONAL
W/OUT AURA = ANY
WHICH CONTRACEPTION SHOULD BE USED?
FLUID RETENTION OR BLOATING
USE DROSPIRENONE
WHICH CONTRACEPTION SHOULD BE USED?
HEAVY MENSTRUAL BLEEDING
COC NATAZIA OR IUD MIRENA
CAN DO SHORTER PLACEBO PERIOD OR CONTINUOUS
WHICH CONTRACEPTION SHOULD BE USED?
HTN
POP OR NONHORMONAL
WHICH CONTRACEPTION SHOULD BE USED?
MOOD CHANGES OR DISORDER
MONOPHASIC COC
EXTENDED CUCLE OR CONTINUOUS WITH DROSPIRENONE IS PREFERRED
WHICH CONTRACEPTION SHOULD BE USED?
PREMENSTRUAL DYSPHORIC DISORDER
YAZ OR
ANTIDEPRESSANT
COC MISSED DOSES
1 LATE OR MISSED DOSES
TAKE ASAP AND TAKE NEXT ON SCHEDULE
BACK UP NOT NEEDED
EC NOT NEEDED
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
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
WHAT AGENTS ARE USED IN INFERTILITY
CLOMIPHENE (SERM)
LETROZOLE
GONADOTROPICS
hCG
WHICH FIRTILITY MEDICATIONS INCREASE RISK OF MULTIPLE BIRTHS
GONADOTROPINS
CLOMIPHENE
CLOMIPHENE SIDE EFFECTS
HOT FLASHES
INCREASED CLOTTING RISK
