Reproductive

Question 0

TriEst

Answer 0

Estriol 80: Estradiol 10: Estrone 10

Question 1

BiEst

Answer 1

Estriol 80: Estradiol 20

Question 2

Premarin

Answer 2

conjugated estrogens for osteoporosis and menopausal sxs

oral and topical creams

Question 3

Medroxyprogesterone/Provera

Answer 3

Synthetic variant of progesterone for contraception, HRT, DUB, endometriosis
PO or IM

Question 4

Drospirenone

Answer 4

yaz- synthetic progestin
closer to the natural progesterone
much higher DVT risk

Question 5

Medroxyprogesterone acetate/ DepoProvera

Answer 5

150 mg aq
IM 4xyear
high dose progestin that inhibits follicular development and prevents ovulation by decreasing GnRH
Causes bone loss. Don’t use longer than 2 years

Question 6

Implanon

Answer 6

Progestin only

Remove after 3 years

Question 7

OrthoEvra/ Transdermal patch

Answer 7

Middle layer is norelgestromin and ethinyl estradiol

Question 8

NuvaRing

Answer 8

Progestin and estrogen

etonogesterol

Question 9

Mirena

Answer 9

long-acting synthetic progestin

Question 10

ER contraception

Answer 10

Progestin only

Levonorgestrel 1.5 mg split into two doses or given as one

Question 11

Ulipristal acetate/ Ella

Answer 11

selective progesterone receptor modulator that delays ovulation and follicle rupture. Use within 120 days of unprotected intercourse

Question 12

Mifepristone/Mifeprex

Answer 12

synthetic steroid for abortion used in the first two months
Progestin agonist that also decreases HCG levels
pain and bleeding for 9-16 days
C/I with IUD Ec preg, hemorrhagic d/o, anticoagulants, prednisone

Question 13

Clomiphene/Clomid

Answer 13

SERM for infertility or amenorrhea
It interferes with the negative feedback caused by estrogen on GnRH -> more LH and FSH!!
sides are vag dryness and bleeding, breast tenderness, anxiety, hot flashes, MULTIPLE BIRTHS