Contraception_Sterilization Flashcards
What are the benefits of Progestin only OCP’s
Menstrual cycle regularity
Improves dysmenorrhea
Decrease risk of Fe deficiency anemia
Lower risk of female cancers
What are the major SE’s to worry about with Progestin only OCP’s
Breakthrough bleeding for 3 months Venous thrombosis, PE Stroke/MI Hepatic tumors Cholestasis and Gallbladder disease
Is the patch a combo contraceptive or not
Combo
In what population must you use caution giving the patch
> 198 lbs.
What is the major SE of using the patch
Greater risk of thrombosis compared to OCP’s
What population of women typically use Progestin only OCP’s
Women breastfeeding
Women who can’t have E
How many hours can you be late taking your daily Progestin only OCP and not need to use backup protection
3 hours
What are the major benefits of using the vaginal ring
Greater compliance
Few SE’s (not going through GI)
Less breakthrough bleeding
In what populations are combo contraceptives contraindicated
Women > 35 yo who smoke
Hx of thromboembolic event
Hx of CAD, CHF, migraine with aura, uncontrolled HTN
Hepatic disease/tumor
What is the route of administration of Depo
Injectable
How long does one dose of Depo last
14 weeks
When is Depo given
Within first 5 days of menses
Efficacy of Depo is equivalent to that of _____ and is not altered by weight.
Sterilization
What are the major indications for Depo
Breastfeeding
Can’t have E
Seizure disorders
Sickle cell anemia
What is the route of administration of Nexplanon and how long is it good for
Implant
3 years
What is the major SE of Nexplanon
Irregularly irregular vaginal bleeding
How does Nexplanon affect the bones
No bone loss issues
What are the risks of using an IUD
Infection w/in 20 days of insertion
Ectopic pregnancy
Uterine perforation
Malposition
What are the types of Levonorgestrel IUDs and how long are they good for
Mirena/Kyleena = 5 years Liletta = 3 years Skyla = 3 years (nulliparous)
What is the name of the Copper T IUD and how long is it good for
Paragard
10 years
What are the benefits of using an IUD
Decreased menses
Less dysmenorrhea
Convenient
Protection of endometrial lining
What are the contraindications to using emergency contraceptives
There are none
What hormone is in Plan B
Progestin only
In what time frame must Plan B be taken
120 hours, but failure rate goes to 1.1% after 72 hours
In what time frame must Ella (Emergency) be taken
Within 5 days
How long does it take for complete azoospermia to be obtained after a vasectomy
~ 10 weeks
What is the most common approach for performing female sterilization
Mini-Laparotomy
Which form of female sterilization has a decreased risk of ovarian cancer risk
Salpingectomy
What are contraindications for a Hysteroscopy
Nickel/Contrast allergy
Active pelvic infection
Suspected pregnancy
In what pt population is a Hysteroscopy beneficial
Obese pts
