W10_08 Contraception

Question 1

what are the top two most popular contraception methods?

Answer 1

combined oral contraceptive pill (28%);
condoms (21%)

Question 2

what’s the pearl index?

Answer 2

a proportion of the contraception failure rates among women who use it over 1 year of use

Question 3

what are some non hormonal methods of contraception?

Answer 3

fertility awareness;
lactational amenorrhea;
barriers/spermicides;
copper IUD

Question 4

what’‘re three ways of delivering estro/progest-?

Answer 4

pill, patch, or ring

Question 5

what is depomedroxyprogesterone acetate?

Answer 5

long-acting injection (3 months)

Question 6

what is levonorgestrel IUD/ Minerva?

Answer 6

IUD w/hormone

Question 7

what is implanon?

Answer 7

rod, implanted under skin. Contraceptive for 3 years

Question 8

how long can sperm live in the vagina?

Answer 8

5 days

Question 9

what’s the fertile time?

Answer 9

6 days per cycle

Question 10

what’s the rule of 4s of lactational amenorrhea contraception?

Answer 10

4 weeks postpartum and not breastfeeding? Can get pregnant;
4 months PP? if 4 hours breastfeeding during the day and 6 hours at night, then no pregnancy

Question 11

what kind of hormonal contraception for women who are lactating?

Answer 11

progestin-only (doesn’t affect milk production, unlike estrogen does)

Question 12

what’s the failure rate of spermicides?

Answer 12

6-25%

Question 13

what’s nonoxynol-9?

Answer 13

spermicide. Inserted 10-30 mins before intercourse

Question 14

what increases the risk of barrier contraceptives?

Answer 14

frequent intercourse;
age<30;
previous contraception failure

Question 15

what’s the failure rate of male condoms?

Answer 15

3-14%;
2% if spermicide added

Question 16

how long does the diaphragm need to be in place?

Answer 16

can insert 6 hours before, but leave in place 6-24 hours after sex

Question 17

what’s the failure rate of the diaphragm?

Answer 17

6-20%

Question 18

note: diaphragms need fitting before and after pregnancy

Answer 18

ok

Question 19

what are flexi-T, nova T, and mirena?

Answer 19

IUDs

Question 20

what’s the difference between copper and progesterone IUDs?

Answer 20

copper is toxic to sperm, progesterone affects the female reproductive organs

Question 21

how does progesterone affect contraceptives?

Answer 21

thickens cervical mucus, alters tubal transport, alters uterine lining, inhibits ovulation via LH/FSH suppresion (somewhat)

Question 22

what’s the failure rate of IUD?

Answer 22

0.1-2%

Question 23

note that risk of infection in IUD is small

Answer 23

ok

Question 24

note: you can use mirena to protect the endometrium for those on estrogen hormone replacement and tamoxifen

Answer 24

ok

Question 25

what’s micronor?

Answer 25

progestin-only pill

Question 26

what are some non contraceptive benefits of OCPs?

Answer 26

less bleeding, less pain, less acne, less ovarian cancer, fewer ovarian cysts, less fibroblastic breast disease

Question 27

most serious risk of the OCP?

Answer 27

small risk of blood clots in legs, PE, strokes

Question 28

note: pregnancy is riskier for blood clots than taking the pill, which are both riskier than no pill, no pregnancy

Answer 28

but the risk is so small either way

Question 29

what’s the benefit of 24/4 over 21/7?

Answer 29

shorten the “off” cycle and decrease chances of another follicle developing

Question 30

what’s YAZ?

Answer 30

24/4 OCP

Question 31

note: micronor needs to be taken very strictly - missed for 3 hours? Can get pregnant

Answer 31

it’s a progestin only pill)

Question 32

what’s the Yuzpe method of emergency contraceptive?

Answer 32

100ug ethinyl estradiol x 2 doses 12 hours apart. Can turn regular OCP pill into this method