Contraception & Infertility Flashcards

1
Q

Drospirenone

A

K-sparing diuretic

Decreased:

1) bloating
2) weight gain
3) PMS
4) acne

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2
Q

Progestin-only Pills

A

Errin, Camila, Nora-BE
Slynd = drospirenone only

ALL active pills

Uses:

1) Breastfeeding
2) Migraines WITH aura
3) 3-6 weeks postpartum
4) Uncontrolled HTN

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3
Q

POP missed dose:

A

≥ 3 hours, use backup for 48 hours

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4
Q

Xulane patch

A

1) Higher Estrogen
2) Less effective > 198 lbs
3) CI > 35 years smokers

Placement: upper arm, buttocks, stomach, upper back (NOT breasts)

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5
Q

DMPA (Depo-Provera)

medroxyprogesterone SQ/IM injection

A

SQ/IM q 3 months

ADR: osteoporosis

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6
Q

Continuous contraception

A

Amethyst

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7
Q

Estrogen ADRs / BBW

A

1) Bloating
2) Weight gain
3) Early spotting = increase estrogen

BBW: Contraindicated

1) > 35 years smokers
2) VTE / Hx CAD
3) Cancer: breast, ovarian, liver
4) Migraine WITH aura

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8
Q

Drugs that decrease hormonal contraception

A

Rifampin (requires backup x 6 weeks after d/c)
Phenytoin, Carbamazepine, Topiramate, Lamotrigine
St. John’s Wort

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9
Q

Starting COC

A

Takes 7 days (backup)

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10
Q

Starting POP

A

Takes 48 hours (backup)

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11
Q

COC 2 missed pills

A

Take most recent missed pill, then take next dose as scheduled

1) If on Week 3 = Omit Hormone-free week
2) Back up x 7 days
3) Emergency Contraceptive OK

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12
Q

Infertility Tx

A

1st) Clomiphene (PO)

2nd) Menopur, Follistim AQ, Gonal-f, Ovidrel (SQ/IM)

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