Oral Contraceptives Flashcards
What are the two types of oral contraceptive categories?
combined - estrogen and progestin
mini-pill - progestin only
clues it contains estrogen?
-estra
clues that it contains progestin?
- gest
- nor
How does age affect the failure rate of contraception?
younger patient = higher failure rate
How does estrogen work to prevent pregnancy? (3)
suppress ovulation
alter endometrium
**speed ovum transport
How does progesterone work to prevent pregnancy? (5)
suppress ovulation alter endometrium **thicken cervical mucous **retard sperm abilities **slow ovum transport
In what two ways do both progesterone and estrogen prevent pregnancy?
suppress ovulation
alter endometrium
What are three non-contraceptive benefits to oral contraceptives?
decrease cramps
less menstrual flow
improve facial acne
What cancers do oral contraceptives offer some protection against? (2)
ovarian
endometrial
Excess estrogenic effects (4)
cardioembolic events
chloasma - mask
telangiectasis - spider vein face
breast tenderness
Deficiency in estrogen (2)
early cycle breakthrough bleeding
atrophic vaginitis
Excess progesterone effects (6)
breast tenderness HTN depression fatigue decreased libido weight gain
Who would NOT be a good candidate for progestin-containing BC?
overweight, depressed, hypertensive, diabetic patient
Deficiency in progesterone (2)
late cycle bleeding (day 10+)
delayed menses
Excessive androgenic effects (5)
hirsutism acne oily skin edema increased libido
