More Contraceptives Flashcards
Contraceptive ring - brand name
NuvaRing
Which hormone(s) does NuvaRing use?
estrogen and progestin
Trio of No-Nos for hormonal contraceptives
older ( > 35)
smoker
HTN
If ring comes out, how long is window of time for reinsertion?
3 hours
“the patch” - brand name
Ortha Evra
At what weight does ortho evra become less effective?
> 90 kg
~ 198 lbs
Is more or less estrogen released by the patch than OCPs?
more by the patch
What is one place the patch should not be placed?
the breast
What happens if a patch is off for > 24 hours?
start new 4 week cycle and use backup
Which hormone(s) does Depo use?
progestin only
What is one possible muskuloskeletal effect of Depo?
~bone density reduction with LT use
What is the grace period for the next injection with Depo?
2 weeks after the 3 month effectiveness timeframe
if longer, do HCG before next injection
How long does Implanon last?
3 years
Which hormone(s) does Implanon use?
progestin
Typical pattern of bleeding with Implanon?
there is no typical - spotting, absent periods, prolonged periods
What is LNG-IUS?
levonorgestrel releasing intrauterine system
Mirena
What effect does an IUD have on Asherman’s syndrome?
can prevent
Asherman’s syndrome = intrauterine adhesions, often after uterine procedures
When in the cycle should an IUD be inserted?
anytime in cycle
How soon after giving birth can an IUD be inserted?
4 - 8 weeks
When does a diaphragm need to be refitted?
20 lbs up or down
How long must a diaphragm or cap be left in the vagina after intercourse?
6 hours
What is a side effect of spermicide of which to be aware?
irritation with prolonged exposure
first degree burn can result
Which form of BC has a risk of toxic shock syndrome?
the sponge if left in too long
How long before intercourse can the sponge be inserted?
Left in place after for how long? Provides protection for how long?
up to 6 hours
at least 6 hours
12 hours
The sponge should not be left in for more than how long?
30 but teach 24 because it’s easier to figure out and leaves cushion of time
What is the generic name of Plan B?
levonorgestrel - 85% effective
this is NOT the abortion pill
What is the generic name of the “abortion pill”?
mifepristone
Other than Plan B, what is another form of emergency contraception?
Copper IUD - 99% effective
