Lesson 3 Flashcards
What are the indications for using BCP
PCOS Endometriosis Lack of periods Menstrual cramps PMS Acne Heavy menstrual period
How do oral contraceptive work
Man made estrogen and progesterone which stops ovulation
neg feedback of FSH + LH
What are the different delivery systems of birth control
Oral, needle, implant and IUD
List the complications and benefits of using oral contraceptives
No pain
No insertion
Decrease cancer
Thromboembolus
What does IUCD stand for
intrauterine contraceptive device
where is the IUCD inserted
Into the endometrium
What do IUDs trigger
Foreign body reaction inflammatory response
IUCD are toxic to
Sperm and probably ova
What does the Mirena IUCD do
Release progesterone acting similarly to oral contraceptive
thickens cervical mucus causing barrier to sperm
Making lining inhospitable to implantation
Different types of IUCD’s
Copper T
Copper 7
Lippies Loop
Safe-T-coil
How does copper IUDs work
Contributes to inflammatory reaction that helps prevent fertilization
How does IUD look on US
Echogenic
Where is the IUD placed in the endometrium
Fundus level
What scan do you need to prove proper position of IUD
Transvag
Transabdominal can see it there but not if in proper position
If a IUD is not in proper position, where is it ?
Too low in the lower uterine segment
Perforated the myometrium
In the adnexa
