Term
| Method of choice for contraception |
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Definition
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Term
| Absolute Contraindications to COCs |
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Definition
Breast Cancer, hormond dependent cancer
Cerebrovascular disease/accident
Complicated Valvular heart disease
VT, or PE
Diabetes with microvascular complication
MI, IHD, Vascular disease
Coag factor deficiency
<6 weeks Postpartum if breastfeeding*
Liver tumor
Migraines with Aura at any age
HTN (160/100)
Severe Cirrhosis
Smoker (age 35 or 15 cigs/day) |
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Term
| Transdermal Contraceptives, who should not take them? |
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Definition
| Obese (or over 90kg), affects absorption |
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Term
| What dose EE in COCs demonstrate reduced bloating and breast tenderness? |
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Definition
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Term
| What combination is VERY effective for controlling moderate to severe acne? |
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Definition
| Cyproterone acetate with EE |
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Term
How is Nuva ring used? (timing)
If ring is left out for 3 hours, what should be done? |
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Definition
Worn for 3 weeks, out for 1 week
Use backup method for 7 days if left out for more than 3 hours |
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Term
| A benefit of Extended use contraception |
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Definition
| Relief of severe dysmenorrhea, or heavy flow |
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Term
How should you use contraceptive patch?
If have it off for 24 hours, what should be done |
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Definition
Apply once weekly for three weeks on same day each week, then 1 week patch free.
Apply to dry intact skin on buttocks, abdomen, arm or upper torso.
If patch is off for 24 hours, apply new patch and use backup method for 7 days. |
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Term
Transdermal patch, when should patch first be applied?
If applied later than first day, what should be done |
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Definition
| First day of period, if applied after 1st day use 7 days of backup |
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Term
| Side effects in continuous vs cyclical use |
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Definition
| Continuous associated with fewer side effects and fewer bleeding days. Bad side effect of continuous use is irregular or unexpected bleeding - may not be able to tell if they become pregnant. |
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Term
What is the progestin-only contraceptive?
When is a back-up method used?
Who can use Norethindrone? |
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Definition
What is the progestin-only contraceptive: NORETHINDRONE
When is a back-up method used: ENTIRE FIRST MONTH OF USE, and if miss a dose by more than 3 hours.
SMOKERS, LACTATING WOMEN, unwanted COC side effects, Migraines, neurologic symptoms |
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Term
| Absolute Contraindications of Norethindrone |
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Definition
Absolute Contraindications of Norethindrone:
Pregnancy, current breast cancer |
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Term
DMPA - Depot Injection
Who can use it (big thing)?
Absolute Contraindications: |
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Definition
DMPA - Depot Medroxyprogesterone Acetate Injection
Who can use it (big thing): After abortion (5 days after), or during breastfeeding.
Absolute Contraindication: Urinary or vaginal bleeding |
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Term
DMPA - Depot Injection
Viable option for ?
Unique Side effect? |
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Definition
DMPA - Depot Injection
Viable option for: Smokers, COC intolerant
Unique Side effect: Loss of BMD, consider other options in osteoporosis.
Also weight gain. |
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Term
DMPA - Injection
How is it taken? |
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Definition
DMPA - Injection
Inject within first 5 days of menses. MUST take it every 13 weeks, do not exceed. |
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Term
Levonorgestryl Intrauterine System
How long does it last for?
How is it administered and removed?
How long until normal menstruation resumes? |
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Definition
Levonorgestryl Intrauterine System
How long does it last for - 5 years
How is it administered and removed - Doc must insert it and remove it
Normal menstruation resumes after 1-3 months |
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Term
Levonorgestryl Intrauterine System
Contraindictaions: |
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Definition
Levonorgestryl Intrauterine System
Contraindictaions: Genital infection, pregnancy, liver disease |
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Term
Emergency postcoital Contraception
Highest efficacy time range?
How long after sex can it be taken?
Definition of "unprotected intercourse"
Does emergency contraception have any effect on postimplantantion pregnancy |
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Definition
Emergency postcoital Contraception
Highest efficacy time range - within first 24 hours
How long after sex can it be taken - within 5 days
Definition of "unprotected intercourse":
No barrier, condom breakage, more than 2 pills of OC missed anytime during cycle, 1 pill missed in the first week, more than 7 day pill free interval, more than 13 weeks DMPA, ejaculation on external genitalia or sexual assault.
NO effect on postimplantation pregnancy |
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Term
Copper IUD
Emergency Contraception?
How long after sex can it be implanted?
What must be excluded prior to implantation? |
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Definition
Copper IUD
Emergency Contraception - YES
How long after sex can it be implanted - 7 days!
What must be excluded prior to implantation: PREGNANCY |
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Term
| Contraceptives during breastfeeding or postpartum |
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Definition
Progestin only methods Oral contraceptions (Norethindrone) and barrier methods
Or use Levonorgestryl IUS
Or use IUD - use between 4-6 weeks postpartum |
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Term
| Drugs that can cause COC failure |
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Definition
| RIFAMPIN, griseofulvin, Ampicillin, Amoxicillin, Tetracycline, eryhthromycin, SMX/TMP, Nitrofurantoin |
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