Women's Health 2 Flashcards

1
Q

% of pregnancies are unintended

A

45

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2
Q

% of girls and women at risk for unintended pregnancy use contraception

A

85

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3
Q

Who high risk of pregnancy and STIs

A

Adolescents

Half of estimated patients in age 15-24

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4
Q

Risk factors for STI

A

Multiple partners
Unprotected sex
Inherent susceptible to infection
Barriers to health care utilization

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5
Q

Male condoms can be made of

A

Latex, polyurethane, polyisoprene, lamb cecum

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6
Q

Increase breakage of condoms can be due to

A

Inappropriate placement/usage
Oil based lubricants
Duration, intensity

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7
Q

Latex condoms help against sti in women

A

Trichromaniasis
Bacterial vaginosis
Gonorrhea

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8
Q

Latex condoms help against sti in women and men

A

Syphilis
Chlamidya
HPV
Herpes simplex virus infections

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9
Q

Female condoms made of

A

Polyurethane

Nitrile ( latex)

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10
Q

Spermicide

A

Nonoxynol 9
Foams, gels, vaginal, suppositories, films, sponges
Messy, variable forms, inconsistent use,
Inexpensive
Non STI protection

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11
Q

Nonoxynol 9

A

Immobilize/kill sperm
No more effective than condoms at preventing sti, and no more effective than condoms in pregnancy prevention
Discourage because of potential risk of irritation from spermicide in both men and women, resulting in possible increased risk of infection

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12
Q

Calendar rhythm fertility awareness based method

A

Menstrual cycle length ( avoid fertile days)

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13
Q

Basal body temperature fertility awareness based method

A
T changes ( measured in AM)
Drop in T 12-24 hr before ovulation; ovulation there is a slight rise
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14
Q

Cervical mucus fertility awareness based method

A

Increase in quality and elasticity due to estrogen

Clear, stretchy mucus= ovulation

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15
Q

Symptothermal fertility awareness based method

A

Combination of cervical mucus changes and BBT

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16
Q

Standard days fertility awareness based method

A

Avoid sex days 8-19 of men cycle

17
Q

Lactational amenorrhea fertility awareness based method

A

Breastfeeding

18
Q

Emergency contraception

A

Morning after pill
Contraception used AFTER sex but BEFORE implantation
NOT the same as an abortion
Regular contraception used at high doses
Does not affect established pregnancy
Used up to 72-120 hours (5 days) after sex
Indicated when: contraceptive method fails ( eg.condom breaks, missing pill), unprotected sex
Most effective when taken early after sex
89% effective

19
Q

Emergency contraception products

A

Plan B One-step, My way

Plan B

20
Q

Plan B you API

A

Levonorgestrel 0.75 mg
2 tab taken 12 hours apart
Now obsolete!

21
Q

Plan B one step API

A

Levonorgestrel 1.5 mg x1dose

Decrease chance of getting 2 dose ( which requires starting regimen over)

22
Q

Next choice API

A

Generic for plan B

Levonorgestrel 0.75 mg ( 2 tab)

23
Q

EC products description

A

All sold OTC for any age
Sold behind the counter at the pharmacy or in the family planning ( or “non-flamily planning “ isle)
Next choice one dose not yet fda approved for all ages ( 17yo and older) w/o prescription

24
Q

EC products MOA

A

Due to inhibition of ovulation:

  • increase in thickening if cervical mucus
  • interference with transport of sperm or egg
25
Q

Vaccines for STI prevention

A

HPV
Hepatitis B ( 0,1,6 month)
-recommended as routine for all infants starting at birth

26
Q

HPV

A

Most common STI
Lead to cervical cancer ( strain 16&18)
6 and 11 among others are responsible for genital warts

27
Q

HPV Vaccine

A
3 types: 
Gardasil ( HPV subtypes 6,11, 16, 18)
Gardasil 9 ( 9 valent HPV vaccine)
Cevarix ( HPV subtypes 16,18) women only 
Females and males 2-26 yo
Admin 0,2,6 month; if < 15 yo 2 doses at 0 and 16-12 month
28
Q

UTI OTC

A

Pyridium 95 mg
Custer 160mg
Cranberry UTI

29
Q

Pyridium 95 mg

A

UTI

Turn urine red

30
Q

Catechism 160 mg

A

Methenamine/ salicylate/ benzoic acid
UTI
Antibacterial agent

31
Q

Cranberry UTI

A

Prevention UTI