Contraception & Infertility

Question 1

Drospirenone

Answer 1

K-sparing diuretic

Decreased:

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

Question 2

Progestin-only Pills

Answer 2

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

Question 3

POP missed dose:

Answer 3

≥ 3 hours, use backup for 48 hours

Question 4

Xulane patch

Answer 4

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

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

Question 5

DMPA (Depo-Provera)

medroxyprogesterone SQ/IM injection

Answer 5

SQ/IM q 3 months

ADR: osteoporosis

Question 6

Continuous contraception

Answer 6

Amethyst

Question 7

Estrogen ADRs / BBW

Answer 7

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

Question 8

Drugs that decrease hormonal contraception

Answer 8

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

Question 9

Starting COC

Answer 9

Takes 7 days (backup)

Question 10

Starting POP

Answer 10

Takes 48 hours (backup)

Question 11

COC 2 missed pills

Answer 11

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

Question 12

Infertility Tx

Answer 12

1st) Clomiphene (PO)

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