Contraceptives

Question 1

Calender method

Answer 1

avoid sex 5 days prior and 3 days after ovulation

Question 2

Best STI protection

Answer 2

Condoms

Question 3

Estrogen/ Progesterone

Answer 3

Inhibiton of midcycle surge of GnRH preventign ovulation

Question 4

drospirenone

Answer 4

(yaz) spironolactone analog, antimineralocorticoid and antiandrogenic effects
increased K and thromboembolic risk

Question 5

Norethindrone

Answer 5

least androgenic 1/2 generation progestin. slight improvement in lipid profile

Question 6

Levonorgestrel

Answer 6

Most widely prescribed progesterone. 2nd generation

Question 7

Norgestimate

Answer 7

3rd gen progestin, less androgenic effect, good choice for individuals with dyslipidemia, acne, but higher thromboembolic potential

Question 8

Desogrestrel

Answer 8

3rd gen progestin, less androgenic effect, good choice for individuals with dyslipidemia, acne, but higher thromboembolic potential

Question 9

Dienogest

Answer 9

Monophasic progesterone combined with estrogen, 3 weeks on, 3 week placebo. Can do extended cycle or no periods

Question 10

Early bleeding days1-10

Answer 10

increase estrogen

Question 11

Later bleeding > day 10

Answer 11

increase progesterone

Question 12

Nuva Ring

Answer 12

ethinyl estradiol and etonogestrel inserted for 3 weeks, removed for one. Plastic

Question 13

Transdermal Patch

Answer 13

ethinyl estradiol and norelgestromin. once patch a week for 3 weeks, then one week off. good efficacy, greater failure rate in women .90 Kg

Question 14

Estrogen contraceptives AE

Answer 14

deminish milk supply, increased chance of thromboembolism, endometrial cancer,

Question 15

Progesterone only Contraceptives

Answer 15

“mini pill” Inhibit ovulation, causes changes in cervical mucous, decreased sperm motility, used while breast feeding, AE: irregular bleeding, androgenicity, need regular dosing, breakthrough ovulation with missed dose. no risk of MI, stroke, endometrial cancer etc.

Question 16

medroxyprogesterone acetate

Answer 16

depo shot. IM every 3 months, start w/in 5 days of beginning of menstrual cycle, bone resorption due to induced estrogen deficiency. limits use to 2 years

Question 17

implants

Answer 17

Rods placed under skin,3/5 year effectiveness

progesterone

Question 18

Implanon/ Nexplanon

Answer 18

etonogestrel one rod progesterone insert

Question 19

Jadelle

Answer 19

levonorgestrel two rod system effective for 5 years

Question 20

Plan B

Answer 20

OTC all ages, take within 72 hours of sex. 1 pill

Question 21

Ulipristal acetate

Answer 21

plan B up to 5 days after sex, progesteron agonist/ antagonist

Question 22

Copper IUD

Answer 22

induces foriegn body reaction in endometrium causing inflammatory response preventing sperm from reaching fallopian tubes. for women who want regular periods, no hormones

Question 23

Slow release progesterone IUD

Answer 23

mirena-leconorgestrel
inhibits ovulation and sperm survival 5 year effectiveness
irregular bleeding/ ammenorrhea

Question 24

leconorgestrel IUD

Answer 24

Skyla. 3 year effectiveness, approved for nulliparous women

irregular bleeding/ ammenorrhea

Question 25

tubal

Answer 25

still need 3 months of backup contraception

Question 26

Vasectomy

Answer 26

ligation of vas deferens, 20 ejaculations or 3 months following need to use additional contraception. must have semen analysis to confirm good.