Term
| Fixed combinations of estrogen and progestin |
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Definition
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Term
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Definition
| fixed amount estrogen, variable amounts progestin, progestin increases from week to week |
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Term
| Continuous estrogen progestin preparations |
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Definition
Estrogen progestin combinations taken for 28 days each cycle
estrogen inhibits GNRH, ovulation inhibited
Endometrium not optimal for implantation
Adverse effects: nausea, edema, headache, libido, reduced menstrual flow, weight gain, icnreased skin pigmentation, acne and hirsutism, vaginal and uterine infections more common, post-drug amenorrhea, cholestatic or obstructive jaundice, changes in carbohydrate metabolism, decrease folate absorption, thromboembolic disease, myocardial infaarction, stroke, hypertension, cancer |
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Term
| Transdermal contraceptive patch |
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Definition
| Contain ethinyl estrdiol and norelgestromin (progestin) |
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Term
| Low-dose progestin, mini-pill |
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Definition
Daily dose progestin, breakthrough bleeding
Inhibits release GNRH and ovulation
Adverse effects: alter plasma lipids, breakthough bleeding |
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Term
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Definition
Silicone tubes filled with progestin implanted under skin, released over 5 years
Adverse effects: bleeding irregularities, weight gain, headache, nervousness, anxiety, muscular pain, breast discharge, abdominal discomfort |
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Term
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Definition
| Injectable progestin injected every 3 months |
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Term
| Antiprogestins (Mifepristone) |
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Definition
Blocks effect of progesterone on endometrium, lacks support of progesterone and lining is sloughed
Taken after missed period |
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Term
| Post-Coital Contraceptives |
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Definition
| Large doses of estrogen, delays or inhibits ovulation, major problem is nausea |
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Term
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Definition
Coil into uterus, prevents implantation of fertilized ovum, progestins embedded
Adverse effects: heavy menstrual flow, pelvic discomfort, 10-15% expelled spontaneously, uterine infections |
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Term
| Diaphragm and Spermicidal Jelly |
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Definition
Diaphargm cap filled with agent which destroys sperm, placed over cervix, physical and chemical barrier
Disadvantages: properly fitted and used, inserted before coitus,remain 6-8 hours after coitus |
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Term
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Definition
| Physical barrier, prevent spread STD, may tear or break |
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Term
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Definition
Physical barrier, prevent STD and pregnancy
Disadvantage: ease of insertion, dislodge |
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Term
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Definition
| Abstinence few days before and after ovulation |
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Term
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Definition
| Removal of penis before ejaculation, not effective some released before |
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