OCPs and contraception Flashcards
emergency contraception is:
post coital contraception meant for recent unprotected intercourse
unprotected sex and close to ovulation and probability of pregnancy is
30%
emergency contraception works by
delaying ovulation (OCPs, levonorgestrel) or stopping fertilization (copper containing IUD
emergency contraception should be given
ASAP as longer time after intercourse decreases efficacy
most effective emergency contraceptive is
copper containing IUD 99% effective and can be placed up to 120 hrs after intercourse (5 days)
contraindication to copper iud
active pelvic infection severe uterine cavity distortion Wilson’s dx complicated organ transplant failure
if pt has signs of active cervitis and needs post coital contraception give:
oral levonorgestrel (plan B) due to 85% efficacy and availability and ease of use and low side effect profile
when should levonorgestrol be given
72 hrs of unprotected sex
what can be given as a second line emergency option but has high risk for failure
high dose oral contraception High risk for failure and often intolerable side effects (persistent nausea)
methotrexate
is not used for emergency contraceptive given only for causing fetal demise and spontaneous abortion in cases of ectopic pregnancies.
chart with comparisons of active OCP
how to treat anovulatory abnormal uterine bleeding with someone who has contraindicatiosn to combined OCP’s use?
use a progestin containing intrauterine device to reduce blood loss and maintain stability of the endometrium and reduce risk for uterine cancer
treatment of anovulatory bleeding with medroxyprogesterone acetate helps because
it restores hormone balnce and stabilizes the endometrium with promoting withdrawal bleeding for women who wish to become pregnant.
