Shared Flashcard Set

Details

Fertility Control
N/A
38
Medical
Professional
08/25/2011

Additional Medical Flashcards

 


 

Cards

Term
Which fertility control came first?
Definition
tubal sterilization
Term
Which fertility control is the newest?
Definition
OCPs
Term
What are the benefits of hormonal contraception?
Definition
regularity of menstrual cycle (not all)
decreased blood loss
cancer avoidance
ectopic pregnancy prevention
improved bone density
Term
What is a benefit unique to cyclic OCPs?
Definition
regularity of the menstrual cycle
Term
How is the risk of endometrial cancer affected by hormonal contraception?
Definition
reduced
Term
How is the risk of ovarian cancer affected by hormonal contraception?
Definition
reduced
Term
How is the risk of cervical cancer affected by hormonal contraception?
Definition
unaffected
Term
How is the risk of liver cancer affected by hormonal contraception?
Definition
unaffected
Term
How is the risk of colon cancer affected by hormonal contraception?
Definition
reduced
Term
How is the risk of breast cancer affected by hormonal contraception?
Definition
may be slightly increased in older women
Term
What is the only risk for hormonal contraception in a non-smoking woman?
Definition
venous thromboembolism
Term
What risks are there with the use of hormonal contraception in a smoking woman?
Definition
venous thromboembolism
heart attack
stroke
worsening diabetes
worsening hypertension
Term
What women have more risk factors when taking hormonal contraceptives?
Definition
older women
smokers
Leiden carriers
Term
What hormonal contraceptive is good for women who have risk factors?
Definition
DepoProvera
Term
What hormone are the risks related to for hormonal contraceptives?
Definition
estrogen
Term
Which barrier method is most effective with typical use?
Definition
male condom
Term
Which barrier method is least effective in typical use, especially in a parous woman?
Definition
cap and sponge
Term
What is a risk associated with an IUD?
Definition
uterine perforation
Term
What is the mechanism of action of an IUD?
Definition
prevents conception, not implantation

progestin IUD makes cervical mucus more viscous

copper IUD creates an intrauterine environment hostile to sperm
Term
What is not a benefit of an IUD?
Definition
protection from STDs and HIV
Term
What IUD had a multifilament string that harbored bacteria and was subsequently taken off the market?
Definition
Dalkon shield
Term
Paraguard
Definition
copper T 380A
10 year use
no hormone release
Term
Mirena
Definition
levonorgestrel IUS
5 year use
reduces blood loss up to 97% by end of first year
Term
Which behavioral methods have the highest success rate?
Definition
abstinence
symptothermal
Term
Which behavioral method has the lowest success rate?
Definition
withdrawal
Term
Does male sterilization or female sterilization have a higher success rate?
Definition
male
Term
Vasectomy reversal leads to ___% pregnancy rates.
Definition
70%+
Term
What was female sterilization first used for?
Definition
prevention of recurrence of dystocia or c-section
Term
Which female sterilization technique has the highest failure rate?
Definition
bipolar cautery
Term
Which female sterilization technique has the lowest failure rate?
Definition
post-partum sterilization
Term
What is the main advantage of post-partum sterilization?
Definition
pt. is already in the hospital
Term
What are the disadvantages of post-partum sterilization?
Definition
inherently unstable patient
higher regret rates
logistics
Term
What percentage of women have a "moment" of sterilization regret?
Definition
80%
Term
54% of patients seeking termination had a ______________ _________.
Definition
contraceptive failure
Term
Does termination increase your risk of breast cancer?
Definition
no
Term
Does termination increase the lifetime risk of mental illness?
Definition
no
Term
Is termination of pregnancy associated with increased risk for future pregnancies?
Definition
no
Term
At least half of American women will experience an unintended pregnancy by age ___, and, at current rates, about ____ will have had an abortion.
Definition
age 45; 1/3
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