Office Flashcards
When to biopsy bartholin’s gland cyst?
Patients over age 40, and for any patients with solid components.
Additionally, biopsy is recommended if the Bartholin mass persists or worsens despite treatment with marsupialization or adequate Word catheterization.
Copper IUD facts
No contraception backup is needed after copper IUD insertion regardless of timing of insertion in relation to menstrual cycle.
Immediate insertion after an induced or spontaneous abortion is acceptable, except after septic abortion.
IUD placement is avoided in active pelvic inflammatory disease (PID) or the first 3 months after that.
The CDC recommends a sexually transmitted infections (STI) screen at time of insertion. Do not wait for results before insertion. If screening comes back positive, treat while IUD is in place.
Copper IUD is the MOST effective method of emergency contraception when placed within 5 days from unprotected intercourse.
Contraceptive failure rate
Contraceptive method 1-year failure rate
Nexplanon etonogestrel implant 0.05%
Vasectomy 0.15%
Levonorgestrel IUD 0.2%
Copper IUD 0.8%
Depot medroxyprogesterone injection 3%
Combined oral contraceptive pills (OCPs), progestin-only pills 9%
Male condoms 18%
Female diaphragms 21%
Daily Calcium and Vitamin D recs
Recommended Daily Intake in Women
Age Range (years) Calcium (mg) Vitamin D (IU)
19–50 1000 600
51–70 1200 600
> 71 1200 800
Pregnant 1000 600
Lactating 1000 600
