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32 Cards in this Set
- Front
- Back
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estradiols used in contraceptives
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ethinyl estradiol
mestranol |
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progestins used in contraceptives
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ethynodiol diacetate
norethindrone norgestrel norgestimate levonorgestrel desogestrel drosperidone |
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MOA of combo preps
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inhibit ovulation
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drugs that can reduce effectiveness of OCP
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antibiotics
metronidazole phenytoin |
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vaginal spermicide
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nonoxynol 9
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side effect of nonoxynol 9
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candidiasis (infections)
toxic shock syndrome increased risk of HIV |
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releases copper or progestin to increase efficacy
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intrauterine device
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prevent implantation (not fertilization)
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IUDs
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IUDs
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progestasert
mirena paragard |
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long acting progestins
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implanon (3 years)
depot medroxyprogesterone acetate (IM per 3 mo) |
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contraceptive with daily intranasal admin
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GnRH
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male contraceptives
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GnRH
gossypol nifedipine |
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progestin used in OCP that is similar to spironolactone
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drosperinone (no androgenic effects)
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purpose of multi-phasic OCPs
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lower side effects
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in multiphasic OCPs higher dose prgesterone is given when in the cycle
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later towards the end
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large body mass index would indicate what dosage of OCPs
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higher
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OCPs indicated with hx of thromboembolism
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progestin only
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side effects of progestin only OCPs
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irregular bleeding (menses is not tightly regulated)
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side effects of drosprienone
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diuresis/hyperkalemia
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hirsutism seen in OCP use, is an effect of which hormone
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progestin (slight androgenic effect)
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severe side effects of OCPs
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thromboembolism
GI disorders depression cancer (don't cause but stimulate) |
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if nausea/ vomiting with OCP what change needs to be made
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lower estrogen
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if acne is a problem with OCP, what needs to be changed
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lower progestin
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if HTN seen with OCP, what needs to be changed
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lower estrogen
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contraindications for OCPs
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past hx CVA, thrombo, hepatic adenoma, liver disease
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why do antibiotics cause decreased efficacy of OCP
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eliminate flora, reduce enterohepatic recirculation = lower levels
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MOA of nonoxynol 9
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surfactant that damages sperm cell membrane
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cause sterile inflammatory reaction in endometrium to prevent implantation
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IUD
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side effects of IUD
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infection
perforation |
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long-acting progestin approved for endometriosis
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depot medroxyprogesterone acetate
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side effects of long acting progestins
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decreased bone density
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when should women be taken off of OCPs who smoke
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~35
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