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8 Cards in this Set
- Front
- Back
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Fertilization
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Fertilization can only occur in the early stages of transport in the fallopian tube
Loss after implantation is 30% Loss of fertilized oocytes before implantation is 46% In each ovulatory cycle only 25% of normally fertile couples can achieve a live birth |
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Risks of "Pill"
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Ischemic Strokes odds ratio of 3.0
With HTN 10.7 Thromboembolic Strokes odds ratio of 3.9 (3rd generation progestins) and 3.4 (2nd generation progestins) Background risk 4.4/100,000 vs 8.5/100,000 pill users |
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Hormonal Contraception
OCP |
Oral Contraceptives 3%Typical Failure
Combined (Estrogen/Progestin) Monophasic/Triphasic/Estrophasic Progestin only Breastfeeding First Day Start -- Protection from day #1 Sunday Start -- 30 days of back up before effective No periods over the weekend Contraindications: Strokes History Pulmonary Emboli History of DVT Age 35 and Smoker Leiden V mutation Hypertension due to OCP |
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Hormonal Contraception
Emergency Contraception |
0.1mg Ethinyl Estradiol + 0.5mg Norgestrel taken twice 12 hours apart
75% efficacy No evidence of teratologic effects Copper IUD -- 99% effective LN IUD – 85% effective RU-486 600 mg 100% effective |
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Hormonal Contraception
Depo Provera™ |
0.3% Typical Failure
Injected every 3 months Can exacerbate depression Increases appetite Increases acne |
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Intrauterine Device
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Copper T 380A 3%Typical Failure
Sterile inflammation of intrauterine cavity Sperm cannot survive hostile endometrium Not an abortifacient Good for 10 years Monogamous couples Mirena ™ 3%Typical Failure Needs to be changed q 5 years Same mode of action as T 380A Progestesert ™ 3%Typical Failure Needs to be changed yearly Same mode of action as T 380A |
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Barrier Methods
Condoms |
Condoms 12% Typical Failure Rate
Beware of non-latex condoms. They may not prevent STD’s Female condoms do not prevent STD’s 21% Typical Failure Rate Use with Contraceptive lube |
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Barrier Methods
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Cervical Cap 12%Typical Failure Rate
Difficult to fit Inconvenient to use Diaphragm with spermicidal cream or jelly 18% Typical Failure Rate |
