Contraceptives

Question 1

Junel Fe 1/20
Microgestin Fe 1/20

Answer 1

COC
Norethindrone / EE / iron supp
Monophasic

Question 2

Sprintec 28

Answer 2

COC
Norgestimate / EE
Monophasic

Question 3

Loestrin 1/20

Answer 3

COC
Norethindrone / EE
Monophasic

Question 4

Yasmin 28

Answer 4

COC
Drospirenone / EE
Monophasic

Question 5

Yaz

Answer 5

COC
Drospirenone / EE
Monophasic

Question 6

Tri-Sprintec

Answer 6

COC
Norgestimate / EE
Triphasic

Question 7

Natazia

Answer 7

COC
Estradiol valerate / progestin dienogest
Quadriphasic

Question 8

Seasonique

Answer 8

COC
Levonorgestrel / EE
Extended cycle
- period every 3 months

Question 9

Amethyst

Answer 9

COC
Levonorgestrel / EE
Continuous

Question 10

Yasmin 28
Yaz
Loryna
Beyaz

Answer 10

Drospirenone containing formulations

CI in renal or liver disease
functions as a mild K sparing diuretic -> monitor K levels

anti-androgenic activity ->
- less bloating
- weight loss
- less PMS
- less acne

Question 11

Xulane

Answer 11

COC patch
ethinyl estradiol / norelgestromin
weekly for 3 weeks, 1 week off

Question 12

NuvaRing

Answer 12

COC vaginal ring
Etonogestrel / EE
once monthly, in 3 weeks out 1

Question 13

Errin
Camila
Nora-BE

Answer 13

POP
Norethindrone

Question 14

Slynd

Answer 14

POP
Drospirenone

Question 15

Depo-provera

Answer 15

POP injection
Medroxyprogesterone
Q3 months

Question 16

Do not use estrogen with these conditions:

Answer 16

• DVT/PE
• stroke
• CAD
• Hx of breast, ovarian, or liver cancer
• migraine WITH aura

Question 17

contraception in lactation

Answer 17

POP or non-hormonal method

Estrogen can decrease milk production
Also crosses into breast milk

Question 18

Backup protection for COCs

Answer 18

if not started within 5d of period -> 7d BUC
>/= 48 hours since last dose -> 7d BUC

Question 19

Backup protection for POPs

Answer 19

when starting POP -> 48h BUC
> 3 hours late admin -> 48h BUC

Question 20

Old system:
Pregnancy category A

Answer 20

Controlled studies in animals & pregnant patients show no risk in the first trimester. Fetal harm is remote.

Question 21

Old system:
Pregnancy category B

Answer 21

Animal studies have not demonstrated a fetal risk but no well-controlled studies are available in pregnant patients

Question 22

Old system:
Pregnancy category C

Answer 22

Animal studies have shown harm
no well controlled studies in pregnant pts
use only if benefit outweighs the risk

Question 23

Old system:
Pregnancy category D

Answer 23

Positive evidence of risk to human fetus
but benefits may outweigh risk in serious disease

Question 24

Old system:
Pregnancy category X

Answer 24

Studies in humans and animals show fetal abnormalities
contraindicated in pregnancy