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Hormonal Methods of Contraception > Introduction to hormonal contraceptives > Flashcards

Introduction to hormonal contraceptives Flashcards

1
Q

Hormonal methods are safe, effective, and reversible.

True or False?

A

True

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2
Q

Hormonal methods disrupt an existing pregnancy

A

False

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3
Q

Hormonal methods interfere with intercourse

A

False

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4
Q

Hormonal methods protect from AIDS or sexually transmitted infections (STI) in general

A

False

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5
Q

Hormonal contraceptives methods (HCM) contain one or two hormones. Which are these?

A

Estrogen and progestine

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6
Q

What is progestin?

A

It’s a synthetic hormone similar to the progesterone hormone made naturally by the ovaries

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7
Q

What do the hormonal methods do to the uterus?

A

Thich cervical mucus, which makes harder for the sperm to rise the egg

Disrupt menstrual cycle, incluiding preventing ovulation

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8
Q

How are the HCM delivered into the bloodstream?

A
  1. Under skin by an implant
  2. Implantation on the womb
  3. An injection
  4. A pill is taken by mouth
  5. A skin patch
  6. A ring that is worn in the vagina next to the cervix
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9
Q

Where is the contraceptive implant placed?

A

Under the skin of the upper arm

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10
Q

What hormone is released by the implant?

A

Progestine

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11
Q

For how long is the Jadelle implant effective and how many rods does it have?

A

5 years of effectiveness

2 rods

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12
Q

For how long is the Implanon implant effective and how many rods does it has?

A

3 years of effectiveness

One rod system

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13
Q

This HMC is T-shaped

A

LNG-IUD

Levonorgestrel intra uterine dispositive

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14
Q

Which hormone(s) is released by the IUD?

A

Levonorgestrel

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15
Q

What is the levonorgestrel?

A

A second generation of progestine

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16
Q

How is the IUD used?

A

It is inserted and removed into and from the womb by a trined provider

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17
Q

For how long is the IUD effective?

A

3-5 years

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18
Q

What is the injectable contraceptive?

A

It’s an injection that contains either progestine or a compbination of progestine and strogen

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19
Q

For how long is the injectable contraceptive effective?

A

It depends upon type of injectable

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20
Q

What is the combined oral contraceptive? (COC)

A

A small pill taken daly that releases a low of both progestine and strogen

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21
Q

What is the effectiveness of the COC?

A

It depends on taking the pill every day

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22
Q

What is the progestine only pill? (POP)

A

Small pill taken daily that releases a low of progestine only

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23
Q

What is the effectiveness of the POP?

A

It depends on takin the pill every day

24
Q

What do the doctors recomend for maximum effectiveness when taking the POP?

A

It should be taken daily without exceptions and at the same hour every day within a window of 3 hours or less

25
Q

Is the COC safe for breastfeeding women?

A

No.

The POP is

26
Q

What is the patch?

A

It’s an small piece of flexible plastic that adheres to the skin

27
Q

Which hormones does the patch releases?

A

Progestine and strogen

28
Q

How often is the patch replaced?

A

Once a week for 3 consecutive weeks. No patch is worn during the fourth week in order to allow monthly bleeding.

29
Q

What is the levonorgestrel emergency contraceptive pill? (ECP)

A

A progentine-only method to prevent pregnancy after unprotected intercourse.

30
Q

How is the ECP taken?

A

A single dose of 1.5mg is taken within 5 days or 120 hours after unprotected sex.

Artenatively, a woman can take the pill in two doses, 0.75mg each one, 12 hours apart

31
Q

What do the doctors recomend for mximum effectiveness when takin the ECP?

A

It should be taken within 24 for hours AFTER unprotected intercourse

32
Q

Does the EPC provides ongoing protection against pregnancy?

A

No. It’s for emergency use only

33
Q

Effectiveness of contraceptive implant on perfect use

A

99.95%

34
Q

Effectiveness of LNG-IUD on perfect use

A

99.8%

35
Q

Effectiveness of injectable contraceptives on perfect use

A

94%

36
Q

Effectiveness of COC and POP on perfect use

A

91%

37
Q

Effectiveness of ECP on perfect use

A

The ECP does not provide ongoing protection againts pregnancy

38
Q

Effectiveness of combined vaginal ring on perfect use

A

91%

39
Q

Effectiveness of combined skin patch on perfect use

A

91%

40
Q

Under what criteria are classified the conditions of eligibility?

A

Under four categories which reflect the degree of risk associated with the use of the method

41
Q

Category 1 of eligibility

A

There are no restrictions to use

42
Q

Category 2

A

The method can be provided even if the clinical judgment is limited. Generally use. Some follow up may be needed

43
Q

Category 3

A

The method shouldn’t be provided where clinical judgement is limited. Clinical judgement and continuing access to clinical services are required for use

44
Q

Category 4

A

The method must not be used

45
Q

Can a breastfeeding woman take HMC?

A

It depends on how many weeks has the baby and the type of HMC

46
Q

Can a post-abortion woman take HMC?

A

Yes, except for the IUD

47
Q

Can smoking women take HMC?

A

It depends on her age and the number of cigarettes she smokes every day

48
Q

Name the factors for HMC criteria for a woman with hypertension

A

Blood pressure

Blood pressure can be evaluated or not (history of hypertension)

BP controlled or not

49
Q

Can a woman with headaches take HMC?

A

It depends on if it is migrainous or not and with or without aura

50
Q

Can a woman with cancer take HMC?

A

It depends on the type of cancer and if she is awaiting treatment or in a current treatment

51
Q

Can a woman with breast cancer take HMC?

A

She can only use the IUD

52
Q

Can a woman with diabetes take HMC?

A

It depends on if she has nephropathy, retinopathy, or neuropathy and the years she has had diabetes

53
Q

Can a woman infected with AIDS take HMC?

A

There is no restriction for the use of HMC even if she’s taking ART, except for the IUD, where special consideration must be required

54
Q

The health risks when taking HMC are commons

True or false?

A

False

They are rare

55
Q

What is the most common, but rare, risk when taking COC?

A

Strokes and heart attacks

56
Q

What are the main topics to treat with the client when counseling?

A

Types and characteristics

Risks and benefits

Costs

Hormonal Methods of Contraception (2 decks)

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