L43- Contraceptives (non-oral, post-coital)

Question 1

list the non-oral hormonal contraceptives

Answer 1

• patch
• ring
• progestin injection
• progestin implant
• IUS (intrauterine system)

Question 2

contraceptive patches content + route of administration

Answer 2

(transdermal patch)

• ethinyl estradiol
• progestin

Question 3

contraceptive ring content + route of administration

Answer 3

(transvaginal)

• ethinyl estradiol
• progestin

Question 4

Progestin Injection:

• (1) contents, dosing
• (2) efficacy in comparison to others
• (3) MOA
• (4) AEs

Answer 4

(Depo-Provera)
1- DMPA: depot medroxyprogesterone acetate –> IM injection every 3 mos

2- extremely effective

3- prevents ovulation via negative feedback

4- menstrual irregularities, weight gain, significant bone mineral density loss (irreversible)

Question 5

Progestin Implants:

• (1) process
• (2) length of effectiveness
• (3) major AE

Answer 5

1- single 4cm long implant –> under skin of upper arm via preloaded inserted

2- 3 yrs

3- irregular menstrual bleeding

Question 6

IUS:

• release of (1) from (2) made body
• (3) length of effectiveness

Answer 6

1- levonorgestrel
2- polyethylene body
3- 5 yrs

Question 7

list the non-hormonal non-oral contraceptives

Answer 7

Barriers: condoms, diaphragms, cervical caps, spermicides

IUDs

Fertility awareness based methods

Sterilization

Question 8

describe Plan B, Next Choice vs Plan B One-Step vs Ella:

• content
• dosing
• AEs

Answer 8

Plan B, Next Choice:

• levonorgestrel 1st w/in 72 hrs of sex –> 2nd in 12 hrs
• causes n/v

Plan B One-Step:
-levonorgestrel once w/in 72 hrs of sex

Ella:

• ulipristal acetate –> selective porgesterone receptor modulator (SPRM)
• once w/in 5 days of sex
• n/v

Question 9

______ is the non-oral / non-hormonal emergency postcoital method

Answer 9

copper IUD w/in 5 days of sex