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63 Cards in this Set

  • Front
  • Back
age of childbearing years
15-44
how many pregancies a yr and how many are unintended
6,3 mill
name contraceptive products
male condoms
female condoms
vaginal spermicides
contraceptive sponge
plan b
types of male condoms and what each are made out of
latex
synthetic- polyurathane
natural- lambskin
advantages of latex condoms
1) protect vs stds
2) resistant to breaking vs polyurathane
cons of latex condoms
1) x latex allergies
2) x oil based lubricants
3) degrade in heat and light
pros of polyurethane condoms
1) ok w/ latext allergies
2) thinner material, inc sensation
3) inc sensation of body heat during intercourse
4) greater resistance to heat
5) can use lube
cons of polyurethane condoms
high rate of breakage and slippage
2) expensive
pros of natural mem condoms
1) ok w/ latex allergies
2) inc body heat
3) very strong
cons of natural mem condoms
1) x sti
2) expensive
which is the most expensive latex, poly or lambskin
lambskin
do all condoms protect vs pregnancy? stds
yes,
latex and poly-protect vs sti
lambskin does not
which types of lubricants can u use with latex condoms
waterbased, cannot use oil based lub w/ latex
risk factors for condom break
1) incorrect placement
2) use of oil based lubes
3) reuse condoms
4) inc durations, intensity, freq of sex
5) prior history of condom break
how much space should u leave b/t the end of hte condom and the tip of the penis
1/2 inch
pros of male condoms
1) access
2) cost
3) protects sti
4) min se
cons of male condoms
1) spontaneous
2) problems w/ ed
3) latex allergy
female condom
-prevents what
-made of what material
- size
- lube?
- sti and pregnancy
-polyurethane
-one size fits all
- pre lubed already
how many hrs before can u insert female condom?
how much of the condom can u leave out?
8 hrs

should leave at least 1 in
pros and cons of female condom
pros:
1) made of polyur
2) breakage is rare
3) pre lub
4) flexible time of insertion
5) ok w/ latex allergy

cons
1) difficult to insert
2) increase noise
3) uncomfortable
4) dec availability
5) expensive
6) less effective
7) labeled for single use
which are more effective male or female condoms
male
moa of vaginal sperimicides?
active ingredient?
kills and immobilizes sperm
nonoxynol-9
which is the least effective method of contraception and why
vaginal spermicides
b/c
1) products strength
2) proper application in vagina
if u use a vaginal spermicide w/ condoms its efficacy relates to ?
oral contraceptives and iuds
vag spermicides can be used w
condoms
diaphragms, cervical caps
vag spermicides adr
- irritates and damages vaginal and cerival epi
-inc risk of bac and viral stis
-allergic rxn
-unpleasant taste
do vag spermicides protect vs sti
no,
spermicidal forms, how fast do they work and their duration of axn
immediately, 1 hr
spermicidal foams pros and cons
- distributed more evenly and adheres better to vag wall and cervical area compared to gels
-con: less lubricating than gels
spermicial forms and spermicidal gels patient counseling pts
- must apply full dose near cervix
- must reapply for each coital act
- delay cleansing/douching for at least 6 hrs after intercourse
spermicidal gels/ jellies onset of action and duration of action
immediate, 1 hr
spermicidal foams and spermicidal gels have sim onset of action and duration of axn?
yes
pros and cons of spermicidal gels/jellies
pro- very lubricating
con- some can only use with barrier devices
spermicidal suppositories: onset of axn, duration of axn
onset of axn: 10-15 mins
duration of axn: 1 hr
sperm suppos pros and cons
pros: does not to refrigerate
cons: does not completely dissolve , gritty sensation
spermicidal films: onset of action, duration of axn,
15 mins
doa: 3 hrs
can u have sex right away after inserting the spermicidal film?
no, have to wait till it dissolved b4 having intercoarse
spermicidal jellies, suppositories, films, foams
which has the longest duration of axn
fastest on set of axn
longest onset of axn
films = 3 hrs
onset of axn; foams, gels/jellies,
supp: 10-15 mins
films; 15 mins
vag spermicides can come in?
foams
gels/jellies
suppositories
films
do vag spermicides protect vs sti?
no
structure of contraceptive sponge
made of
-polyurethane
-permeasted w/ spermicide
moa of contraceptive sponges
- mechanical
-spermicidal
-absorbs semen
contraceptive sponge adr
-vag dryness, irritation
-inc risk of sti
-inc risk of toxic shock syndrome
contraceptive sponge patient counseling pts: (7)
1) insert 24 hrs b4
2) provides protection for up 2 24 hrs
3) leave in for 6 hrs after sex
4) remove sponge prior to cleansing/ douching
5) dnt use during menses, 6 weeks postpartum
6) do not exceed recommended retention time
7) make sure entire sponge is removed
unlike vag spermicides, contraceptive sponges are better bc?
may use for repeated acts of intercourse w/ in 24 hrs period of insertion
contraceptive sponge pros and cons:
pros:
-available w/out rx,
-immediate onset,
-long duration of axn- 24 hrs
-can be used for multiple sex acts

-disadvantages
-no protection from sti
-cost
contraceptive efficacy is dependent on
-moa
-patient compliance
-proper use and application
ec is indicated for?
-unprotected sex
-contraceptive failure
-future use
ec options
-yukuke method-combo of oral contraceptives
- plan b
plan b only contains and is considered what kind of med
- progestin only
- dual status
plan b package contains
2 tabs
0.75 mg of levonorgestrol
moa of plan b
- prevents preg
-delays/inhibit ovulation
-alters cervical mucus
plan b is contraindicated in
- already pregnant
-allergy to levonorgestrel
- undiagnosed vag bleeding
how long can u take plan b after having sex?
120 hrs - 5 days
standard regimen for plan b?
dosing options?
1 tablet w/in 72 hrs of unprotected sex, and another tablet 12 hrs later

dosing options
- can take 2 tabs at the same time
plan b efficacy
1) rates decline w/ time
2) closer a women is to ovulaton
3) not effective vs subsequent acts of intercourse during treatment period
plan b adr
Fran Bought H and M Vintage Dresses
Fatigue
B reat tenderness
Headache
Abdominal pain
M enstural irregularities
Vomitting
D Diarrhea
drugs to give to deal w/ nausea associated w/ plan b
-meclizine
-diphenydramine
-dimenhydrinate
- cyclizine
1) if you vomit after plan b, should u still take it1
2) plan protects vs stis?
1) yes
2) no
when should u get ur period after taking plan b
usually occurs w/ in 1 week of expectied time
if ur already taking bc and then take plan b should u continue taking bc
take after completing plan b dose
plan b dual status means
non rx and rx
rx only for those less than 18
nonrx for over 18 yrs old
is consultation required for plan b
no