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Bloc I - Reproduction > Sept10 A3-Non-hormonal contraception > Flashcards

Sept10 A3-Non-hormonal contraception Flashcards

1
Q

top tier of most effective contraception

A
  • IUD (copper OR LNG-IUS)
  • progesterone implants
  • female and male sterilization
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2
Q

second tier of very effective contraceptive

A
  • COC
  • vaginal ring
  • patch
  • DMPA (P injection)
  • P only pill
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3
Q

third tier of effective contraceptives

A
  • condom (M and F)
  • diaphragm
  • fertility awareness
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4
Q

fourth tier of least effective contraceptives

A
  • spermicides

- sponge

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5
Q

non categorized contraception

A

withdrawal

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6
Q

IUD risk of infertility

A

nonexistent

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7
Q

IUD risk in nulliparous women or adolescents (smaller uterus)

A

none

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8
Q

IUD risk of PID

A

none

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9
Q

Mirena vs other IUDs

A

Mirena has most P so more bleeding CONTROL

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10
Q

contraindications to IUDs

A
  • pregnancy
  • infection
  • liver problem (can use copper IUD)
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11
Q

good patients for using LNG-IUS

A

dysmenorrhea

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12
Q

bad pts for LNG-IUS

A

pts with

  • headaches
  • breast tenderness
  • acne
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13
Q

female sterilization def

A 
TUBAL LIGATION
1. clip uterine tube
2. necrosis in tube
3. clip falls off anywhere in abdomen
4. tube region necrosed forever
OR salpingectomy
-removal of fall tube
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14
Q

male sterilization def

A
  • vasectomy

- have to wait three months and come back for sperm analysis

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15
Q

female condoms advantages

A
  • STI protection
  • no need for prescription or fitting
  • can be inserted 6-8 hrs before sex
  • no allergic reaction
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16
Q

main advantage of male condom

A

protection against STIs

17
Q

diaphragm def + how it works

A
  • cup below cervix

- has spermicide

18
Q

contraindication to diaphragm

A

women with pelvic organ prolapse (POP)

19
Q

diaphragm how to use

A
  • can put it well before sex but if >2 hrs, add spermicide again
  • remove it between 6th and max 24th hour after sex
20
Q

cervical cap def

A
  • silicone cap surrounding cervix to block sperm passage

- contains SPERMICIDE

21
Q

cervical cap how to use

A
  • put any time before intercourse

- remove after 8th hour after intercourse

22
Q

fertility based method with app and thermometer works how

A
  • when ovulate = biphasic peak of temp

- based on temp, cycle prediction app tells you if you can have sex

23
Q

spermicides ex

A
  • creams, jellies, suppositories, aerosol foams, film

- no prescription

24
Q

good candidates for spermicide

A
  • other methods unacceptable
  • need temporary protection, like during first week after starting CHC (combined hormonal contraception) or while nursing
25
Q

spermicide active ingredient

A

nonoxynol-9 or octoxynol-9

26
Q

spermicide MOA

A
  • physical barrier to sperm penetration

- chemical spermicidal action

27
Q

spermicide how to use

A
  • put high in vagina close to cervix shortly before intercourse
  • max effectiveness = 1 hour
28
Q

spermicide problem

A

no protection against STIs

29
Q

contraceptive sponge MOA

A

-same ingredient as spermicide

30
Q

sponge how to use

A
  • put up to 24 hrs before intercourse
  • put against cervix
  • efficacious until 6 hrs after intercourse
31
Q

indications of emergency contraception

A
  • failure to use any method of contraception
  • condom slippage, breakage, leakage
  • missed hormonal contraception
  • error in withdrawal
  • incorrect placement of diaphragm or cervical cap
  • sexual assault
  • mistimed fertility awareness
32
Q

MOA of emergency contr

A
  • delayed or inhibited ovulation
  • endometrial changes preventing implantation
  • interfere with sperm transport or penetration
  • impaired CL fct
33
Q

does emergency contr help if already implanted zygote

A

no, is not a medical abortion

34
Q

CEP (one kind of emergency contr) how to use

A
  • certain nbr of pills to take
  • take within 72 hrs of unprotected intercourse
  • 75% efficacy if using COC
35
Q

progesterone method (plan B two tablets) how to use (is another emergency contr)

A
  • take 1 dose within 72 hours of sex
  • take 2nd dose 12 hrs later
  • 97.8% efficacy
36
Q

ulipristal acetate (emerg contr) MOA

A
  • prevent P mediated endometrial prep for implantation
  • P R modulator
  • delays ovulation
37
Q

UA how to use

A

one tablet up to 120 hrs after sex

38
Q

copper IUD (emerg contr) MOA

A

inflammation that

  • is toxic for spermatozoa and oocytes
  • increases fall tube SM activity
  • stimulate myometrial contractility
  • alter cytokines and intergrins in endo lining (inhibits implant)
39
Q

indications for non hormonal contraception

A
  • medical contraindication to hormonal

- severe SEs from hormonal

Bloc I - Reproduction (57 decks)

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