module 14 birth control Flashcards
combined hormonal contraceptive forms
vaginal ring
oral pills
transdermal patch
combined hormonal conctraceptive MOA
prevent ovulation through suppression of the FSH and LH
combined hormonal contraceptive EDU
ring: doesnt always stay in
patch: inc. BMI -> dec. effectiveness
- skin reactions
oral contraceptive MOA
inhibit FSH release
- inc. dose: inhibit LH
dec. dose combined oral contraceptive may inhibit LH
oral contraceptive use
contraception
- thicken cervical mucus
- dec. egg penetrability
- slow tubal motility, delay sperm
- dec. ability of egg to implant into uterus
oral contraception admin
pill dose
- 20, 30, 35, 50 mcg
oral contraception AE
Increased risk - stroke/MI - DVT - gallbladder disease - hepatic tumor vaginal dryness N/V bleeding hyperpigmentation (melasma, cholasma) dec. libido inc. cholesterol wt. gain breast tenderness acne depression HA hirsuitism dyslipidemia constipation
oral contraception interventions
no oral pill if
- > 35
- smoker
- family hx DVT/ stroke/ MI
types of estrogen in pills
ethinyl estradiol
mestranol
estradiol valerate
oral contraception benefits
dec. risk ovarian and endometrial cancer
regulates cycle
help with acne
oral contraception DI
rimfampin: dec. contraception effectiveness
antifungals become more potent
Progestin-only contraceptive forms
IUD
implantables
injection
pill
depo AE
wt. gain
depression
acne
progestin pill
must take at same time every day
good for when breastfeeding
ways to help with oral AE
acne: lower androgen breakthrough bleed: inc. estrogen depression: dec. progestin moody: dec. progestin HA: dec. estrogen breast sore: dec. estrogen wt gain: dec. estrogen cramps: inc progesterone endometriosis: dec. estrogen
