Family Planning Flashcards
Which contraception suppresses ovulation of inhibition of gonadotropin releasing hormone, luteinizing hormone, follicle stimulating hormone and mid cycle LH surge?
Combined oral contraceptives (COC)
For COC, what is the failure fate for perfect use and typical use?
Perfect use: 0.3%
Typical use: 8%
A patient missed an active pill but did not have intercourse in the last 5 days, what should her next course of action be?
Take 2 pills and a back up method be used the next 7 days
A patient missed an active pill and did have intercourse in the last 5 days, what should be done?
Emergency contraception should be used immediately and a back up method used for 5 days
Contraindications for COC?
Over 35 and smokes more than 15 cigarettes per day
Cardiovascular disease
Pregnancy and breast feeding
Migraines w/aura
How should the progestin minipill be taken?
Similar to COC but with precise accuracy, within same 3 hour window every day
What contraception can be taken while breast feeding?
Progestin minipill
May increase flow of milk
Patients who smoke and over the age of 35 may take which contraceptive?
Progestin minipill
Contraindications of progestin minipill
Bleeding irregularities
Ectopic pregnancies more frequent
Weight gain and mild HA
Which contraception is associated with bone mineral loss, irregular bleeding and delayed ovulation after discontinuation?
Injectable
What is the frequency of injectable progestin DMPA?
IM or SC q3months
What is single rod progestin implant?
Nexplanon
Where is the Nexplanon inserted?
Proximal aspect of non dominant arm for 3 years
What is the most common reason for Nexplanon discontinuation?
Irregular bleeding
What is a transdermal contraceptive patch?
Ortho evra
How is ortho evra used?
Applied to lower abdomen, upper torso or buttock once a month for 3 weeks and followed by 1 week w/o patch
What is the contraceptive vaginal ring?
Nuvaring
How is the nuva ring used?
Ring is soft and flexible and is placed in the upper vagina for 3 weeks removed and replaced 1 week later
What is a side effect of the nuva ring?
Increased vaginal discharge
How does LNG releasing IUD work?
Causes thickening of cervical mucus, prevent endometrial thickening, and can inhibit ovulation
How does the copper bearing (paragard) IUD work?
Either spermicidal or inhibitory effects on sperm capacitation and transport
After IUD insertion, what is an increased risk for the first month?
Pelvic infection
Who is the copper IUD not recommended for?
Heavier menstrual periods
Bleeding between periods
More cramping
What is the concern for missing IUD strings?
Unnoticed expulsion or mitigation through the uterus into the abdomen
