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12 Cards in this Set

  • Front
  • Back
Contraindications to OCPs:

Patient at risk of DVT/PE:
-Personal ... of DVT or PE.
-Known ... state.

Patient at risk for MI or CVA:
-Personal ... of MI or CVA.
-Hypertension, CAD, CHF.
-Migraine with ... or focal neurological symptoms (some controversy).
-Age > ... and smoker.
-Patient with or at high-risk for ...-dependent neoplasm:
*Endometrial cancer.
*Breast cancer.
*Undiagnosed abnormal genital tract bleeding.
-Active liver disease.
-Pregnancy.
history
hypercoagulable
history
aura
35
estrogen
Progestins:

...:
-6 rods in arm; not currently available in U.S.

...:
-Single rod in arm.
-FDA approved in 2006; available but has not yet obtained widespread use.

...:
-Injection q 3 months.
-Risk of osteoporosis if used > 2 years.
Norplant
Implanon
Depo-provera
Emergency (Post-coital) Contraception:

-Conception requires that viable sperm be waiting on the egg when it reaches the fallopian tube.
-Viable sperm is typically present for ...-... hours.
-EC probably works by inhibiting or delaying ovulation via interference with the ... or the ovarian response to the ....
-May also interfere with tubal motility of sperm/egg and/or interfere with implantation.
-... interrupt an established (implanted) pregnancy.
-EC is about 75% effective in preventing pregnancy.
-must be initiated w/in ... hrs
48-72
LH surge
LH surge
Does NOT
72
EC:

-Plan B: One tablet (0.75mg of ...) within 72 hours of intercourse followed by a second tablet 12 hours later.
-Yuzpe method: Same regimen but using 2-4 tablets (approx 100mcg of ... plus ...) of regular ocps.
-Side effects (N/V, HAs, breast pain) much higher with ....
levonorgestrel
estradiol
progestin
Yuzpe method
Which IUD will give you a decreased menstrual flow due to the progesterone component?
Which will give you an increased menstrual flow?
Mirena
ParaGuard
A greater ... of pregnancies conceived with an IUD in place or tubal sterilization will be ectopic; the actual ... of ectopics is NOT increased.
proportion/percentage
absolute number
What is the biggest risk for leaving in an IUD during pregnancy?
preterm labor and delivery
Methods of Female Sterilization:

-...: Essure
-...: bipolar electrodesication, banding procedure, partial or complete bilateral salpingectomy.
-...: Pomeroy, Parkland, Irving, Uchida, and many more named procedures
-Colpotomy: rare in modern practice.
Hysteroscopy
Laparoscopy
Minilaparotomy
...:
knuckle of tube tied and then resected.
Pomeroy
...: ligate tube and bury proximal stump in the myometrium.
Irving
...: removal of isthmic portion of tube and burying proximal stump in mesosalpinx.
Uchida
Male sterilization (vasectomy):
-not sterile until ...
2 sperm-free ejaculates 30 days apart