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Reproductive > Contraceptive > Flashcards

Contraceptive Flashcards

1
Q

Hormones in birth control

A

Estrogen +Progestin

Progestin only

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2
Q

Type of hormonal contraceptive

A 
Oral tablets
Skin patch 
Injection 
Implant 
Vaginal ring 
Intrauterine device IUD
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3
Q

Two types of oral contraceptive

A 
Combined 
Progestin only ( minipill)
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4
Q

Concentration of hormones in combination birth control

A

Œstrogen - ethinyloestradiol (EE) 20-35micrograms

Progestins ( progestogen ) - 19 - nortestosterone

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5
Q

MOA combination birth control

A

Œstrogen - Inhibits FSH for suppression of follicle growth

Progestin - Prevents ovulation

Scanty and viscous mucus which inhibits sperm transport

Atrophic , unreceptive endometrium

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6
Q

Effectiveness of combination birth control pill

A

92-99%

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7
Q

When should you start taking oral pill

A

Within first 7 seven days of menses

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8
Q

Can you start combination therapy anytime as long as pregnancy is excluded

A

Yes

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9
Q

How many days should you drink active pill

A

21 days

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10
Q

Number of pill to take each day

A

1

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11
Q

Menstrual and diseases advantages of birth control pill

A

Decreased blood loss, anemia, menstrual cramps
Decreased ovulation pain
Deceased PCOS symptoms
Decreased endometriosis symptoms
Decreased risk endometrial carcinoma
Decreased risk ovarian cancer
Decreased risk of corpus Luteal cyst and colorectal carcinoma

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12
Q

Sexual psychological Advatanges of birth control

A

No interruption during intercourse

Pleasurable intercourse due to less risk of pregnancy

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13
Q

Menstrual disadvantages of birth control

A 
Spotting 
Scant, missed periods
Amenorrhea post pill 
Decreased libido 
Mood changes
Depression
Anxiety 
Fatigue 
Stressful daily pill taking
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14
Q

Sexual / psychological disadvantages of pill

A 
Decreased libido 
Mood changes
Depression
Anxiety
Fatigue 
Stress
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15
Q

Other Disadvantages of pill

A 
No sti hiv protection 
Breast tenderness 
Breast pain 
Headaches 
Increased varicosities
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16
Q

Absolute contraindications of birth control pill

A 
Previous thromboembolic event 
Previous stroke 
History estrogen dependent tumor 
Active liver disease 
Pregnancy 
Abnormal uterine bleeding 
Valvular heart disease in women over 35yo who smoke
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17
Q

Relative contraindications of brith contro

A

Poorly controlled hypertension
Anticonvulsants drug therapy
Migraine and headaches

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18
Q

Do you need backup contraception if missed pill

A

Yes

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19
Q

How long should you use backup if missed 2 active hormonal pills

A

7 days

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20
Q

Direct side effects of birth control pill

A 
Bloating 
Nausea
Breast tenderness
Mood changes
Weight gain 
Bleeding 
Amenorrhea
21
Q

Who has higher failure rate and higher breakthrough bleeding
COC or progestin only

A

Progestin only

22
Q

Is there a pill free interval in progestin only

A

No

23
Q

Composition of combined injectable contraception

A

50mg norethisterone enantate

50mg estradiol valerate

24
Q

Progestin only injectable types

A 
Depot medroxyprogesterone acetate (DMPA)
Norethisterone enanthate (NET-EN) - noristerat
25
Q

Progestin only injectable reduce risk of endometrial cancer and volume of menstrual bleeding
T or F

A

True

26
Q

Interval of injection of combined contraception

A

4 weeks

27
Q

Effectiveness of combined injectable contraception

A

99.6%

28
Q

Type of administration of DMPA

A

IM

29
Q

Effectiveness of progestin only injectable

A

99.7%

30
Q

Women that should consider DMPA

A

Estrogen is contraindicated
SS anemia
Fibroids
Older women who smoke

31
Q

Side effects of DMPA

A 
Menstrual changes 
Menstrual irregularities
Gradual weight gain 
Mood changes 
Headache
32
Q

Compound released form contraceptive implant

A

Progestin

33
Q

Types of contraceptive implants

A

Jadelle - 5 years efficacy - 75mg levonorgestrel /rod (2 rods)

Implanon - 3 years efficacy - 68mg progestin etonogestrel

34
Q

Effectiveness contraceptive implant

A

99%

35
Q

Side effect implant

A

Like for progestins
Infection, pain at incision site
Amenorrhea

36
Q

What are intrauterine device used for

A

Prevent pregnancy

37
Q

New compounds found in modern IUD

A

Copper

Progestin

38
Q

Are modern IUD safe, effective, private and long acting >?

A

Yes

39
Q

Benefits of IUD

A 
Allow for niiiice sex
Non contraceptive health benefits 
No estrogen good for some women 
Non surgical alternative to surgical sterilization
Cost effective
40
Q

MOA IUD

A 
Prevent fertilization 
Sterile inflammatory rxn -> toxic to sperm and ova -> impairs implantation 
Inhibition of sperm motility 
Reduced sperm capacitation
Increased spern phagocytosis s
41
Q

Three types of modern IUD

A

Copper iud
Progestin releasing IUD
Unmediated IUD

42
Q

Benefits of levonorgestrel IUC

A 
Decreased dysmenorrhea
Decreased menstrual bleeding 
Endometrial hyperplasia and cancer treatment
PID protection 
Endometriosis treatment
43
Q

What do you find in un medicated IUDS

A

Inert materials like stainless steel , plastic

44
Q

Advantage of inert IUD

A

Never need to be replaced

45
Q

Contraindications do IUD

A

Suspected pregnancy

Active pelvic infection

46
Q

IUD postpartum placed how long after delivery

A

48h

47
Q

Podisadvantages of postpartum IUD

A

Expulsion rate high
Requires education of women about expulsion
Missing strings recurrent
Careful monitoring

48
Q

Contraindications of IUD

A 
Active STI STD
High risk for STDs
Recurrent PID
Prolonged ROM
Abdominal  infection, pelvic infection 
Intrapartum , postpartum hemorrhage after emptying of uterus

Reproductive (14 decks)

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