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Reproduction Exam 1 > Contraceptives II > Flashcards

Contraceptives II Flashcards

1
Q

Contraception Options

A 
Postcoital
Transdermal
Intravaginal
Injectable
Implantable
Oral
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2
Q

Injectable example

A

Depro-Provera and Depo-SubQ Provera

Progestin only

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3
Q

Depo-Provera Info

A

Inject IM or SQ every 3 months
Good for pt who can’t use estrogen
Can cause amenorrhea

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4
Q

Depo-Provera special property

A

Fertility doesn’t return for 10-12 months after discontinuation

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5
Q

Intrauterine contraceptives

A

Mirena

ParaGard

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6
Q

Implantable devices

A

Implanon

Nexplanon

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7
Q

Progesterone implantables

A

Mirena
Implanon
Nexplanon

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8
Q

Abnormal implantable?

A

ParaGard; releases copper

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9
Q

Implantable Contraceptive Info

A

Long Acting Reversible Contraceptives

Up to 5-10 years

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10
Q

Progestin does what?

A

Prevents ovulation and thickens cervical mucus

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11
Q

Copper does what?

A

Interfere with sperm transport and prevent implantation

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12
Q

Good candidate for intrauterine devices

A

At least one child
Monogamous relationship
No PID
No etopic pregnancy

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13
Q

Intrauterine devices AE

A

Ab cramping
Bleeding
Expulsion

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14
Q

Transdermal Contraception Drug

A

Ortho Evra

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15
Q

Transdermal Info

A

Apply new patch once weekly for 3 weeks

Obesity issue

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16
Q

Intravaginal Contraception drug

A

Nuvaring

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17
Q

Intravaginal info

A

Insert and remove 3 weeks later

If the ring dislodges for more than 3 hours use back up for 7 days and a new ring

18
Q

Emergency contraception that is progestin only drugs?

A

Plan B
Levonorgestrel
Ella (RX only)

19
Q

YuzpE Method

A

200 micrograms of EE + 1 mg of levonorgestrel OR 2 mg of norgestrel
Divided into 2 doses

20
Q

Ovral Emergency Contraception

A

2 tablets STAT, repeat in 12 hours

21
Q

Levora, Lo/Ovral, Levlen, Nordette, Seasonale Emergency Contraception

A

4 tablets STAT, repeat in 12 hours

22
Q

Trivora, Tri-Levlen, Triphasil Emergency Contraception

A

Yellow pills only

4 tablets STAT repeat in 12 hours

23
Q

Alesse, Levlite Emergency Contraception

A

5 tablets STAT, repeat in 12 hours

24
Q

What has a higher failure rate?

A

YuzpE is worse than Levo

25
Q

Counseling Tips for Emergency Contraception

A 
N/V 
Headache
Vomit within 1 hr = repeat dose
Late period = pregnancy
Take more does not increase efficacy
26
Q

Women >35 + OC

A

CV disease, cancer risk reduce, bone mineral density benefits
Should use <50 mcg EE if nonsmoker

27
Q

Smokers + OC

A

> 15 cigs/day = NO
OCs >50 mcg = MI
Progestin only

28
Q

HTN + COCs

A

Increased angiotensinogen levels
Cause Na/H20 retention
More prevalent with higher dose, prolonged use, age >35

29
Q

Progestin only + HTN

A

Does not increase BP

Caution with drospirenone

30
Q

Estrogen + HTN

A

Increase BP 6-8
Return to normal in 3-6 months
Increase risk stroke and MI

31
Q

Dyslipidemia + COC

A

E: remove LDL and increase HDL, increase TGs
Levonorgestrel: decreases HDL
Could increase CV risk

32
Q

Diabetes + OC is okay IF

A

Nonsmoker
<35 you
No vascular disease

33
Q

Diabetes + progestins

A

Alter carb metabolism
Alter insulin, glucose, and glucagon release
Newer and low dose: little to no affect (except levonorgestrel)

34
Q

Migraines and OCs?

A

Progestin only, IUD or barrier method

35
Q

Migraine + aura

A

NO COCs

Higher risk of stroke

36
Q

Breast Cancer + OC??

A

Small increased risk
No association with low-dose
WHO says do NOT use

37
Q

History of Thromboembolism

A

DMPA and levonorgestrel IUD (first line)

38
Q

Contraindicated in a history of thromboembolism

A

Estrogens
Increased clotting factures
Greatest risk with transdermal contraception

39
Q

SLE + antiphospholipid antibodies, you would use?

A

Progestin only

40
Q

SLE without antibodies

A

COCs do not increase flare risk

41
Q

Sickle Cell

A 
DMPA (1st line)
Avoid CHCs (platelet activaiton, RBC deformity)

Reproduction Exam 1 (5 decks)

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