contraceptive counseling

Question 1

Efficacy

Answer 1

unintended pregnancy will occur even when method used consistently and as prescribed

Question 2

Effectiveness

Answer 2

unintended pregnancy occur if method not used properly

Question 3

a man uses a condom every time is an example of efficacy or effectiveness?

a man uses a condom every time except for once or twice is an example of efficacy or effectiveness?

Answer 3

efficacy;

effectiveness

Question 4

if patient has migraines with aurora what should you give them?

Answer 4

estrogen!

Question 5

lactational amenorrhea method (LAM) of birth control

Answer 5

breastfeeding. Only works when mother is strictly breastfeeding meaning baby is not supplimenting with food, breastfeeding occurs at leasat q3 hours and baby is <6 months old

Question 6

Fertility awareness birth control

Answer 6

they use their body to tell when they are ovulating. (temp, discharge)

Question 7

Diaphragms

Answer 7

fitted by PCP, inserted in women, protects against some STIs

Question 8

vaginal sponge

Answer 8

single use, over the counter, needs to stay in for a period of time

Question 9

female condom

Answer 9

condom that gets inserted in vaginal, over the counter

Question 10

Does a vasectomy have influence over sex drive, hormone production or sexual function?

Answer 10

no

Question 11

copper paragard action

Answer 11

interferes with ability of sperm to pass through uterine cavity, cervical mucus thickens, endometrial lining becomes acidic, slows down cilli so egg never reaches sperm

Question 12

what conditions should you avoid using the copper paragard?

Answer 12

copper allergy, fibroid infections, undiagnosed uterine bleeding.

Question 13

can women who have never had kids use the copper paragard?

Answer 13

yes

Question 14

monophasic BC

Answer 14

has same amount of estrogen throughout all pills

Question 15

noraml side effects of BC

Answer 15

headaches, nausea, irregular period of 3 months when starting BC

Question 16

Medications that will effect BC

Answer 16

antiretrovirals, antibacterials, antidepressants, anticonvulsants

Question 17

Absolute contraindications to BC

Answer 17

> 35 and smoker, liver tumor, clotting disorders, CAD, breast ca, undiagnosed genital bleeding

Question 18

when do you estrogen only?

Answer 18

if woman has no uterus and for hormonal replacement

Question 19

estrogen action

Answer 19

prevents ovulation, suppresses action of other hormones (LH, FSH)

Question 20

progestrone action

Answer 20

prevents ovulation, blocks LH, thickens cervical mucus,

Question 21

1 common side effect of BC

Answer 21

breakthrough bleeding 1-3 months, *breast tenderness, headaches and nausea

Question 22

Danger s/s of BC (ACHES)

Answer 22

abdominal pain, chest pain, headaches, eye problems, severe leg pain

Question 23

contraceptive patch and vaginal ring are changed at what intervals?

Answer 23

patch: changed weekly for 3 weeks
ring: in place for 21 days and removed for one week

Question 24

is estrogen or progestin preferred with breastfeeding?

Answer 24

progestin because estrogen can decrease milk production

Question 25

what is the difference between combo BC and progestrone only BC pills?

Answer 25

Progestin only there is no week off, don’t work as well

Question 26

1 side effect of progestin BC

Answer 26

irregular bleeding for 6-8 months then you dont get a period

Question 27

what does progestin BC do to women that we have to monitor?

Answer 27

decreases bone density

Question 28

side effect of progestin implant

Answer 28

bleeding wont be consecutive, youll get the same number of bleeding days just not all at once

Question 29

how often is the Depo (progestin only) shot given?

Answer 29

12 weeks

Question 30

What is the time frame for taking the morning after pill? and what is the dose

Answer 30

within 120 hours after sex; 2 pills at the same time

Question 31

dysmenorrhea

Answer 31

pain with period

Question 32

menorrhagia

Answer 32

excessive period bleeding

Question 33

IUD (mirena and Skyla) can stay in place for how long, what does it have in it and who are they good for?

Answer 33

may stay in place for 5 years, has progestrone, good choice for smokers and patients with migraine with auroras

Question 34

Can women who have had a hx of endometriosis, anemia, DVT, etopic pregnancy, HTN, smokers and PID use IUDs?

Answer 34

yes

Question 35

IUD mechanism of action

Answer 35

thickens cervical mucus, alters endometrium lining, inhibits sperm survival

Question 36

what should patients do after every cycle with IUD?

Answer 36

check string measurement.

Question 37

patients with IUD should follow up in how many weeks after IUD placed?

Answer 37

3 to 6 weeks after first period then 1 year

Question 38

signs of IUD perforation or infection

Answer 38

severe bleeding,abdominal cramping for 3-5 days after insertion

Question 39

signs of expulsion or perforation of IUD

Answer 39

shorter or longer string

Question 40

when do you place an IUD?

Answer 40

anytime during period or right after delivery

Question 41

IUD insertion steps

Answer 41

inspect vagina, bimanual exam, disinfect vag, sound uterus and insert IUD