Lesson 3.1 - Oral contraception Flashcards
Indications for using birth control (3)
- menstrual cramps (dysmenorrhea)
- premenstrual syndrome
- family planning
Indications for using birth control (3)
- menstrual cramps (dysmenorrhea)
- premenstrual syndrome
- family planning
how does the pill work (4)
- Inhibition of FSH and LH, preventing ovulaiton
- No corpus luteum to produce estrogen
- No change in cervical mucous
- Endometrium not thickened
4 different delivery systems of oral contraceptive
- the pill
- hormone injections
- transcutaneous “patch”
- hormone-containing implants under skin
complications of OC (4)
- post pill amenorrhea
- infertility
- benign liver adenoma may hemorrhage
- cholelithasis
higher risk complications of OC (3)
- thromboembolus
- stroke
- hypertension
OC decreases risk of what (4)
ovarian cancer
endometrial cancer
ectopic pregnancy
anemia
what are other benefits of OC other than decreasing risk of cancer (2)
- decrease in dysmenorrhea (cramps)
- decrease in functional ovarian cysts
How does IUD work
trigger “foreign body reaction” inflammatory response which prevents fertilization
2 main diff types of IUD
copper - paragard
mirena - releases progesterone
how do you prove correct location of IUD?
transvag US - transabdo can only comment it is seen
where should the IUD be?
superior aspect (fundus) within the endometrium
sono appearance of IUD
highly echogenic
posterior shadowing
t/f paragard is more easily visualized than mirena
true
what does the IUD look like in transverse
T shape at fundal aspect
what does the IUD look like in long axis
a dot
complications of IUD (6)
- malposition
- incomplete removal
- located in adnexa
- infection
- perforation
- pregnancy
pregnancy and IUD by trimester
1st tri - may remove
2/3rd - leave in
what is perimenopause characterized by,
ovaries produce less estrogen
menopause definition
12 months without menses
when does perimenopause begin and for how long
30s-40s
months -10 yrs (avg 4 yr)
symptoms related to menopause
hot flashes
vag dryness
night sweats
Hormone replacement therapy
supplement with estrogen alone or estro + progesterone after menopause
benefits of HRT (3)
- helps to thicken endometrium
- impact the way body uses calcium
- healthy cholesterol level
