Peventative Health(hormones) Flashcards
What is the recommended type of HPV brand
Gardasil 9
Whaat age range is HPV vaccine mandated for
9 to 26 years
What age range can do shared decision for HPV vaccine
27 and upward
What age range is given 2 doses of HPV vaccines
0 to 14 years
What age range is given 3 doses of HPV vaccine
15 and older
What are the side effects of HPV vaccine
Postural orthostatic tachycardia. Redness/erythema. Complex Regional pain syndrome. Pyrexia. Local pain
Explain the ways estrogen works as a contraceptive
Suppresses FSH production to prevent follicles from maturing. Increases sex hormone binding globulin and this increases anti androgenic effects
How does progestin work as a contraceptive
Prevents LH surge. Thickens mucus to block sperm transport/access. Changed uterine motility to prevent spend or eggs transport. Causes endometrium atrophy to stop implantation
What are the effects of too low estrogen
No withdrawal bleeding. Spotting. Vaginal dryness. Light menses
When do we not give an estrogen containing product to a patient
When they have migraines with aura
Counter indications for progestin only method of contraceptives
Breast cancer
What treatment is recommended for transgender men for contraceptives
Progestin only product cos it doesn’t interfere with testosterone
What is the best Emergency contraception for people across all weight class and BMI
Copper IUD
What is the problem with copper IUD
An in office procedure so not convenient
What is the problem with ullipristal acetate or Ella use and it’s advantage
Good for people above 100 pounds. Might interact with other hormonal contraception and is only gotten through RX
Why is ullipristal acetate or Ella better than levonorgestrel plan B
It maintains its efficacy throughout the 5 days post sex no matter how long you go
What makes levorgestrel good
It doesn’t interact with other contraceptive methods. It can be gotten over the counter
What makes levorgestrel bad
It is less effective in people that weigh more than 165 pounds or BMI of 25. Though it’s efficacy is for 5 days, it is not 100 percent the farther you go in the days. It is best effective for use within 72 hours
When can medication can be used to terminate pregnancy
Up to 70 days or 10 weeks calculated from first day of menstrual period
What are the counter indications for abortion medications
Patients with IUD. Allergies. Patient on long term use of corticosteroid. Patient on anticoagulants. Ectopic pregnancy
What are the two medications and their drug class for abortion
Mifepristone: progesterone antagonist. Misoprostol: prostaglandins analogue
In the us eligibility chart for prescribing contraceptives..what color can we not prescribe
If it falls in pink or red
What is the Benchmark bp reading at which we cannot prescribe an estrogen product to a patient
If it is more than 140/90 you refer
Do you refer for estrogen containing products if patient has migraine with aura
Yes we refer because they are in stage 3 or 4 on the eligibility chart
Explain the tiered effectiveness method for contraceptive counseling
You rank from the most effective method for preventing pregnancy to the least effective method
Explain the one key question approach
Ask would you like to become pregnant next year
Listen the questions for PATH approach
Do you think you might have more children at some point? When do you think that may be. How important is it to prevent pregnancy until then
What progesterone is the best for use in coc
Ethynodiol diacetate
What does nexplanon implant contain
Only progestin
Explain the back up method for nexplanon implant
If inserted after 5 days from the start of period, use backup method for 7 days
