Reproductive deck 3

Question 1

Topical patch

Answer 1

Ortho Evra patch: releases 20 mcg of estrogen and 150 mcg of norelgestromin

Question 2

patch is applied

Answer 2

weekly for 3 weeks, then 1 week off

Question 3

start patch on

Answer 3

first day of menses

Can start other days if back up method is used

Question 4

ADR for patch

Answer 4

similar to OC ADRs

Question 5

Topical patch increased failure rate for

Answer 5

Increased failure rate in women weighing more than 198 lb

Question 6

Vaginal ring

Answer 6

NuvaRing is a soft, flexible plastic ring that releases 15 mcg of estrogen and 120 mcg of etonogestrel daily.

Question 7

ring is placed in the

Answer 7

vagina, left in place for 3 weeks, and then is left off for 1 week

Question 8

vaginal ring better

Answer 8

cycle control and decreased breakthrough bleeding are achieved compared with OC.

Question 9

Vaginal ring systemic exposure to

Answer 9

to estrogen is lower

Question 10

Progestin only pills are used

Answer 10

when estrogen is contraindicated.

Question 11

contraceptive effect of progetin only pills is

Answer 11

through thickening of cervical mucus and prevention of sperm penetration.

Question 12

Progestin only pills users have to be

Answer 12

diligent about taking dose daily at the same time.

If a pill is taken even a few hours late, a back-up method is recommended for the following 48 hours.

Question 13

Progestin-Only Pills ADR

Answer 13

changing bleeding patterns and breast tenderness are common

Question 14

Injectable Progestins

Answer 14

Depot medroxyprogesterone acetate (Depo-Provera) is a long-acting, injectable progestin-only contraceptive.

Question 15

Injectable one dose is effective in

Answer 15

suppressing ovulation for 12 to 13 weeks.

Question 16

Advantages of injectables

Answer 16

Once every 12 week dosing

Effective

Question 17

Injectables disadvantages

Answer 17

Once every 12 week dosing

Effective

Question 18

Intrauterine Progestin

Answer 18

MirenaIUD: releases 20 mcg of levonorgestrel daily

Question 19

Intrauterine Progestin

Can be left in

Answer 19

place for 5 years

Question 20

Intrauterine Progestin

Only small levels of systemic

Answer 20

circulating hormone and minimal systemic side effects

Question 21

Intrauterine Progestin

Changes in

Answer 21

menstrual bleeding, amenorrhea

Question 22

Progestin Implants

Answer 22

Implanon: an implantable rod that contains 68 mg of etonogestrel

Question 23

Progestin Implants

Answer 23

Provides contraception for up to 3 years

Question 24

Emergency Contraception Should be implemented as

Answer 24

soon as possible (less than 72 hours) after unprotected intercourse

Question 25

Emergency Contraception may be initiated up to

Answer 25

120 hours after

Question 26

Methods of emergency contraceptoin

Answer 26

Combined OCs
Progestin only (Plan B and Next Choice)
Copper IUD

Question 27

Contraceptives monitoring

Answer 27

History
Breast and pelvic examinations
Papanicolaou (“Pap”) test and sexually transmitted infection testing
Blood pressure (BP)
Specific to contraception: history and BP

Question 28

Contraceptives monitoring continued

Answer 28

Physical examination, breast examination, pelvic examination, and PAP testing not required for contraception prescription
BP and ADRs monitored at 3 months, then annually