Women's Health 2 Flashcards
% of pregnancies are unintended
45
% of girls and women at risk for unintended pregnancy use contraception
85
Who high risk of pregnancy and STIs
Adolescents
Half of estimated patients in age 15-24
Risk factors for STI
Multiple partners
Unprotected sex
Inherent susceptible to infection
Barriers to health care utilization
Male condoms can be made of
Latex, polyurethane, polyisoprene, lamb cecum
Increase breakage of condoms can be due to
Inappropriate placement/usage
Oil based lubricants
Duration, intensity
Latex condoms help against sti in women
Trichromaniasis
Bacterial vaginosis
Gonorrhea
Latex condoms help against sti in women and men
Syphilis
Chlamidya
HPV
Herpes simplex virus infections
Female condoms made of
Polyurethane
Nitrile ( latex)
Spermicide
Nonoxynol 9
Foams, gels, vaginal, suppositories, films, sponges
Messy, variable forms, inconsistent use,
Inexpensive
Non STI protection
Nonoxynol 9
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
Calendar rhythm fertility awareness based method
Menstrual cycle length ( avoid fertile days)
Basal body temperature fertility awareness based method
T changes ( measured in AM) Drop in T 12-24 hr before ovulation; ovulation there is a slight rise
Cervical mucus fertility awareness based method
Increase in quality and elasticity due to estrogen
Clear, stretchy mucus= ovulation
Symptothermal fertility awareness based method
Combination of cervical mucus changes and BBT
Standard days fertility awareness based method
Avoid sex days 8-19 of men cycle
Lactational amenorrhea fertility awareness based method
Breastfeeding
Emergency contraception
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
Emergency contraception products
Plan B One-step, My way
Plan B
Plan B you API
Levonorgestrel 0.75 mg
2 tab taken 12 hours apart
Now obsolete!
Plan B one step API
Levonorgestrel 1.5 mg x1dose
Decrease chance of getting 2 dose ( which requires starting regimen over)
Next choice API
Generic for plan B
Levonorgestrel 0.75 mg ( 2 tab)
EC products description
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
EC products MOA
Due to inhibition of ovulation:
- increase in thickening if cervical mucus
- interference with transport of sperm or egg
