Family Planning (contraceptive options) Flashcards
Efficacy and method of use Progestin Minipill
1) Similar to that of________ but is highly dependent on consistent use.
—a) Must be taken with precise accuracy.
—b) Within the same ____ window every day.
2) Begun on the ____ day of a menstrual cycle and then taken
continuously for as long as contraception is desired.
—a) There is no “placebo week”.
1) combined oral contraceptives
b) 3 Hour
2) first
What type of IUD?
The mechanism of action is thought to involve either spermicidal or inhibitory effects on sperm capacitation and transport.
Copper bearing (Paragard)
Male sterilization
(a) Vasectomy
–1) Safe, simple procedure
–2) ______ is severed and sealed through a scrotal incision
under local anesthesia.
—3) Follow up semen analysis at ___ months post procedure to confirm sterility
2) Vas deferens
3) 3 Months
General considerations Family Planning
(1) __% of the 213 million pregnancies in 2012 were unintended.
- -(a) __% end in abortion
- -(b) __% end in miscarriage
- -(c) ___% resulted in unplanned births
1) 40%
a) 50%
b) 13%
c) 38%
Transdermal contraceptive patch - Ortho Evra
(a) Combined _____ and ____ contraceptive
(b) The patch is applied to the lower abdomen, upper torso, or buttock once a week for ___ consecutive weeks, followed by__ week(s) without the patch.
(c) Mechanism of action, side effects, and efficacy are similar to those
associated with oral contraceptives, although compliance may be better.
—1) However, discontinuation for side effects is (MORE or LESS) frequent.
a) Estrogen and progestin
b) 3 weeks, 1 week
1) MORE
DoD prohibits the use of DoD facilities and funds to perform abortions, except when what?
1) the life of the Service member would be endangered if the fetus were carried to term,
2) in cases in which the pregnancy is the result of an act of rape or incest.
Mechanism of action for what Contraceptive?
1) Effects the endometrium rendering less suitable for implantation.
2) Thickening of cervical mucus to prevent penetration by sperm.
3) Impairment of normal tubal motility and peristalsis which alters ovum transport.
Progestin Minipill
Combined oral contraceptives (COC) Efficacy
1) Perfect use failure rate: __%
2) Typical use failure rate: __%
1) 0.3
2) 8%
What type of UID can be placed within 5 days following a single
episode of unprotected coitus as postcoital contraceptive?
(Emergency contraception)
Copper IUD
True/false
Women who are not in mutually monogamous relationships do not need to use condoms for protection from sexually transmitted diseases.
FALSE
SHOULD USE
What type of IUD can have the below as a complication
a) Heavier menstrual periods
b) Bleeding between periods
c) More cramping
d) It is generally not suitable for women who already suffer
from these problems.
Copper IUD
IUD can be inserted at almost anytime as long as what?
patient has not become pregnant
Insertion of IUD
(a) Must be inserted by ________.
(b) Can be performed during or after the menses, at mid-cycle to prevent implantation, or later in the cycle if the patient has not _________.
a) specially trained provider
b) become pregnant
What is the brief abdominal midcycle discomfort used in Symptothermal Natural family planning
mittelschmerz
True/FAlse
IUD must not be inserted into a pregnant uterus.
True
Symptothermal Natural Family Planning
1) Patient-observed increase in _______ mucus,
2) Brief abdominal midcycle discomfort called _______
3) A sustained rise of the basal body temperature about ___ weeks after onset of menstruation.
1) clear elastic cervical
2) (“mittelschmerz”),
3) 2
True/False
Nulliparity is a contraindication to IUD use
FALSE
is not a contraindication
What type of Emergency Contraception
1) Ethinyl estradiol (at least 100mcg per dose)
2) Levonorgestrel (at least 0.50 mg per dose)
3) Given twice in 12 hours may be used
4) Used within 72 hours, the failure rate of these regimens is approximately 3%,
- –a) Anti-nausea medication is often necessary
Combination oral contraceptive
Contraceptive vaginal ring – NuvaRing
(a) Ring is soft and flexible and is placed in the upper vagina for __ weeks, removed, and replaced ___ week(s) later,
- -1) or can be removed and replaced after ___ weeks for continuous cycling, similar to oral contraceptives.
(b) The efficacy, mechanism of action, and systemic side effects are similar to those associated with ________.
(c) Ring users may experience an increased incidence of ________.
a) 3 Weeks, 1 Week
1) 4 weeks
b) oral contraceptives
c) vaginal discharge
What type of Emergency Contraception
1) Plan B
2) Available over-the-counter for women aged 17 years and older
3) Has a 1% failure rate when taken within 72 hours
4) Efficacious up to 120 hours after intercourse
Levonorgestrel, 1.5 mg orally as a single dose (progestin only pill).