Study sets, textbooks, questions
Upgrade to remove ads
Terms in this set (42)
How long can a diaphragm be left in place?
How long can a cervical cap be left in place?
Which chemical is used in spermicides?
How does progestin contraceptive work?
Thickens cervical mucus to slow sperm, endometrial atrophy, and inhibits ovulation
How does estrogen contraceptive work?
Suppresses FSH and stabilizes the endometrial lining
What non-contraceptive uses do CHC's have?
-Relief from menstrual issues
-Improved menstrual regularity
-Decreases Fe-deficiency anemia
-Reduced risk of ovarian/endometrial cancer
Efficacy of oral contraceptives
Multiphasic oral contraceptives
21 days of varying levels of estrogen/progestin (+7 days of placebo)
How can one take oral contraceptives to have weekends free of menstrual periods?
"Sunday start" method - begin taking pills on the first Sunday after the beginning of menses
How long should someone use a second method of contraceptives after beginning OC's until they reach their maximum effectiveness?
-May consider second method for the whole first month
Women with oily skin, acne, or hirsutism should be given what kind of OC's?
Low androgenic OC's
What are some common adverse effects of CHC's in the first cycle?
->Most improve by the third cycle
Which hormone in OC's at high doses is associated with the most safety concerns?
When should women immediately discontinue CHC's (ACHES)?
-Severe leg pain
BBW of hormonal contraceptives
Smoking with CHC's increases risk of cardiovascular events, esp. in women over 35yo.
When can a woman take oral contraceptives after giving birth?
-At least for 21 days if using estrogen-containing CHC's
-30 days if no VTE risk factors
-42 days if yes VTE risk factors
Who should not be receiving CHC's?
Women over 35 with migraine, uncontrolled HTN, smoking, DM w/vascular risk
How does a migraine with aura compared to simple migraine affect risk in women taking CHC's?
Having an aura increases risk of stroke. Because of this, women with auras should not take CHC's
How does diabetes affect safe CHC use?
CHC's become contraindicated if she has diabetes + vascular disease, diabetes of 20 years.
In women with increased risk of VTE, what kind of hormonal contraceptive is still appropriate?
How do progestins/estrogen affect lipid levels?
Progestin: increased lipids
Estrogens: increased HDL, decreased LDL, but increased triglycerides
How do CHC's affect breast cancer risk?
There is a small increase
-Women with a hx of breast cancer should not take CHC's
How does obesity interact with OC's?
-Avoid the transdermal patch if over 90kg
-Prefer IUD or depot progestin (DMPA)
Which kind of contraceptive should be given for a pt with SLE?
What type of contraceptive is preferred for patients taking antiseizure medications?
IUD or injection progesterone
Which medication is used as a transdermal formulation?
-Not for use in patients over 90kg
-Replace once a week
BBW of ortho evra
-Smoking and CV events
-Ethinyl estradiol pharmacokinetic profile
Who benefits the most from injectable progestins?
-Intolerance/contraindication to estrogens
-Difficulty with compliance
-Sickle cell, SLE, seizures
How often is depot medroxyprogesterone acetate (depo-provera) administered?
Every 3 months IM
How long does it take to achieve pregnancy after DMPA?
Adverse affects of DMPA
-Menstrual and bleeding irregularities
-Bone loss (but not increased Fx)
What are some examples of long-acting reversible contraception (LARC)?
-Subdermal progestin implant (nexplanon)
When should the etonogestrel be inserted?
Between days 1 and 5 of the menstrual cycle
-Fertility returns within 30 days of removal
-Lasts 3 years
Contraindications of IUD's
-Abnormal vaginal bleeding
How long are copper IUD's effective?
Adverse effect of copper IUD
Increased menstrual bleeding/dysmenorrhea
How are levonorgestrel IUD's different than copper IUD's?
-Decreases menstrual bleeding
-Only lasts 5 years
First-line for emergency contraception
For how long is levonorgestrel emergency contraception effective?
Within 3d days
For how long is ulipristal/copper IUD emergency contraception effective?
Within 5 days
What should you do if you missed 1 day of your OC?
Take yesterday's and today's doses and everything is good.
What should you do if you missed 2+ days of your OC?
Take yesterday's and today's doses, throw out the other missed doses, and use a barrier contraception for the next 7 days.
Sets found in the same folder
Anticoagulants and Fibrinolytic drugs
Other sets by this creator
Sexual Dysfunction in Men
Recommended textbook solutions
Pharmacology and the Nursing Process
Julie S Snyder, Linda Lilley, Shelly Collins
The Human Body in Health and Disease
Gary A. Thibodeau, Kevin T. Patton
Medical Terminology: Learning Through Practice
Paula Manuel Bostwick
Clem Thompson, R T Floyd