Module 3 Flashcards
Mirena and Kyleena are effective for how long
Mirena and Kyleena are effective for about 5 years
Skyla and Liletta for about how long?
about 3 years
Copper T-380A for up to how long ?.
Copper T-380A is effective for up to 10 years.
Several IUDs are available in the United States that slowly release levonorgestrel (progesterone), what are they ?
Several IUDs are available in the United States that slowly release levonorgestrel (e.g., Mirena, Skyla, Liletta, Kyleena
When is a back up family planning needed for levonorgestrel-releasing IUD insertions ?
If a levonorgestrel-releasing IUD is inserted within 7 days of the start of the menstrual period, no backup contraceptive method is needed; for insertions after day 7 of the start of menses, a backup method should be used for a minimum of 7 days. In contrast,
Is a backup needed for copper iUD?
the copper IUD requires no form of backup contraception.
Side effects of copper
Adverse effects of the copper IUD include heavier menstrual periods, bleeding between periods, and increased menstrual pain. These side effects often lessen or go away completely within 1 year
Side effects of levonorgestrel
With the levonorgestrel IUDs, bleeding may be unpredictable for the first few months of use. One-third of patients using Mirena and Kyleena and a small number of patients using the other levonorgestrel IUDs will have amenorrhea after the first year of use
contraindications for the use of an IUD
There are few absolute contraindications for the use of an IUD. They include pregnancy, a distorted uterine cavity, unexplained vaginal bleeding, pelvic tuberculosis, cervical or endometrial cancer, malignant trophoblastic disease, acute pelvic inflammatory disease (PID), post septic abortion, postpartum sepsis, and purulent cervicitis. In addition, women with breast cancer should not use a levonorgestrel-releasing IUD.
4-cm single rod inserted subdermally in the upper arm. The implant releases 60 to 70 mcg per day in weeks 5 to 6 postimplantation and gradually decreases to approximately 25 to 30 mcg per day at the end of the third year
ETONOGESTREL IMPLANT
The progestin-only etonogestrel (ENG) implant (Implanon) is a highly effective (greater than 99%)
-Backup contraception should be used if insertion occurs after day 5 of the start of menses
Risk factors of ETONOGESTREL IMPLANT
The progestin-only etonogestrel (ENG) implant (Implanon)
Risks outweigh benefits for women with the following conditions: cirrhosis, liver tumors, systemic lupus erythematosus, and unexplained vaginal bleeding. Use of the implant is contraindicated in women with breast cancer.
How long are most common OCPs?
The most popular OCPs are the 4-week cycle
Role of estrogen in the pill
inhibits implantation of the egg by altering normal maturation of the uterine lining, while the progestins in the pill slow ovum transport and uterine motility.
slow ovum transport and uterine motility. also cause the cervical mucus to become thick and scanty, slowing sperm transport and capacitation. In addition, the pH of the genital tract is altered, and the cervical and uterine environment becomes hostile to sperm.
Role of progesterone in the pill
is currently the most popular estrogen used in OCPs in the United States.
EE- Ethinylestradiol
-desogestrel (in Mircette, Cyclessa, Ortho-Cept, Desogen)
-levonorgestrel (in Alesse, Nordette, Seasonale, Trivora, Triphasil)
-norethindrone (in Estrostep, Norinyl 1/35, Ortho-Novum 1/35 and 7/7/7, Necon 1/35, Modicon, Ovcon 35, Loestrin 1.5/30, Tri-Norinyl), -norgestimate (in Ortho-Cyclen, Ortho-TriCyclen)
-drospirenone (in Yasmin),
-and dl-norgestrel (in Lo-Ovral, Low-Ogestrel).
The progestins currently used
