Family Planning

Question 1

_______________attached to each ovary where fertilization occurs

Answer 1

Fallopian tube attached to each ovary where fertilization occurs

Question 2

___________ site of implantation, expands to accommodate growing embryo/fetus

Answer 2

Uterus – site of implantation, expands to accommodate growing embryo/fetus

Question 3

________seminiferous tubules where spermatogenesis occurs

Answer 3

Testes

Question 4

__________ – coiled tube posterior side of each testes

Answer 4

Epididymis

Question 5

______– tubes connect with ejaculatory duct, from there empty into the urethra.

Answer 5

Vas deferens

Question 6

Ideal contraception should be:

Answer 6

*Safe without side effects
*Completely reversible
*Coitus independent
*Inexpensive
*Simple to use
*100% effective

Question 7

Natural Planning Method definition…

Answer 7

a method of birth control (BC) that involves abstention from sexual intercourse
during the period of ovulation which is determined through observation and
measurement of bodily symptoms

Question 8

Examples of Natural Family Planning

*Abstinence =
*Natural Family Planning
*Basal Body Temperature =
*First Response
*Billings Ovulation Method =
*Symptothermal Method =
*Coitus Interruptus (Withdrawal) =
*Lactational amenorrhea method=

Answer 8

*Abstinence =not having sex
*Natural Family Planning
*Basal Body Temperature = take your basal body temperature every morning before getting out of bed.
*First Response
*Billings Ovulation Method = observation of patterns of fertility and infertility based on vulvar sensations and appearance of discharges.
*Symptothermal Method = cervical mucus tracking with use of an electronic hormonal fertility monitor. The monitor detects hormones in urine to confirm fertile days

*Coitus Interruptus (Withdrawal) = “pull out”
*Lactational amenorrhea method= breastfeeding as a family planning metho

Question 9

Ovulating vs Non ovulating

Answer 9

clear, slippery, thin.

creamy

Question 10

Barrier Methods

Answer 10

*Condoms
*Vaginal Sponges
*Cervical Caps
*Diaphragms
*Spermicidal gels, cream suppository or foam

Question 11

Vaginal Sponges – 76% effective
Advantage vs Disdvantage

Answer 11

Over the counter (OTC)
Most have spermicide

Disadvantage

*One time use

*Placed before 20 minutes intercourse & leave in 6 hrs afterward

Question 12

Diaphragms - 88% effective

Answer 12

Advantage
*Fits over cervix
*Can remain in place for 24
hours
*No systemic effect

Disadvantage
*Use of spermicide for repeated intercourse 4
4
*Difficult to remove
*Irritation
*Allergic reaction

Question 13

Hormonal Methods – 91% effective
*Combination oral contraception (Estrogen/Progesterone)
*Emergency contraceptives
*Progestin only
*Depo-Provera = breastfeeding
*Contraceptive patch
*Vaginal Ring
*Contraceptive Implant: Nexplanon or Norplant

Question 14

Hormonal Methods
Advantages
*Suppresses ovulation
*Take one pill daily or
*4x’s per year injection
*Reduces risk of pregnancy
*Can be used if BF
*Removable patch

Disadvantages
*Side effects
*Weight gain
*Irregular bleeding ( watch history of blood clots * think about our DVT pts?)
*Patches – skin irritation
*Increased risk of heart attack, DVT, strokes (oral)
*No protection for STIs

Question 15

Side effects of hormonal contraceptions

Answer 15

*A – severe abdominal pain
*C – chest pain

*A – severe abdominal pain
*C – chest pain
*H – headache
*E – eye problems
*S – severe leg pain/blood clots

Question 16

Drug interactions – oral contraceptives

Answer 16

*Rifampin
*Phenobarbital
*Carbamazepine
*Broad spectrum antibiotics

Question 17

Emergency Contraception “Morning After Pill”
*Common choices –
*Plan B One-Step
*Next Choice One Dose
*Aftera
*My Way
*Take Action
*Sexual assault or rape
*Condom breaks or diaphragm dislodged
*Missed birth control pill
*No birth control used

Answer 17

side effects: nausea/vomiting

Question 18

RU – 486 - mifepristone
*Can be used up to day 49 of pregnancy
*Controversial drug
*Used to terminate pregnancy

Question 19

Sterilization Surgical procedure
*Vasectomy
*Male
*Surgical procedure with
local anesthesia
*Difficult to reverse
*Highly effective – 99%
*Discomfort 2-3 days
- need two post surgey to confirm its good
*Highly effective – 99%
*Discomfort 2-3 days

Question 20

Sterilization Surgical procedure
*Tubal ligation
*Female
*Surgical procedure with
general anesthesia
*Highly effective 99%
*Bleeding post op
*Pain post op

_
*Same day surgery

Question 21

Sterility VS Infertility
*Sterility - it is impossible for a couple to conceive a child. A diagnosis
of sterility is given after a thorough examination concludes that there
is no sperm production and ovulation cannot occur.
*Infertility means that a couple is not sterile but for some reason has
not been able to conceive a child. There are three conditions that
need to be met for conception to be possible: sperm must be present,
the fallopian tubes must be open, and ovulation must be able to
occur. If one or more of these conditions is not met, the couple
suffers from infertility

Question 22

inferility cause Causes
Male
*STI
*PESTICIDES
*HEAT EXPOSURE
*RADIATION
*INFECTION
*IMPOTENCE
*
Female
*AUTOIMMUNE DISORDERS
*DIABETES
*EASTING DISORDERS
*POOR NUTRITION
*OBESITY
*EXCESSIVE EXERCISE

*OBESITY
*EXCESSIVE EXERCISE
*DAMAGE TO REPRODUCTIVE ORGANS

Question 23

Infertility Treatments
Male
*Hormonal therapy
*Treat infections
*Surgical interventions
*Lifestyle changes
*
Female
*Lifestyle changes
*Surgical procedures
*Treat infections
*Assistive Reproductive Therapies – fertility drugs to induce ovulation,
artificial insemination, surrogacy