• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/13

Click to flip

13 Cards in this Set

  • Front
  • Back
method effectiveness vs.
use effectiveness (Obj 1)
method effectiveness=
effectiveness when method always used correctly

use effectiveness=
effectiveness in actual use
MC contraception? (Obj 2)
sterilization of one of the partners
types of contraception (MC to least common)
1. sterilization of one of the partners
2. OCP's
3. condoms
4. periodic abstinence
5. withdrawal
6. Diaphragm
7. IUD
8. spermicide alone
1st year failure rates of contraception
1st year failure rates (highest to lowest):
1. Chance (85%)
2. spermicide alone
3. Natural Family Planning
4. Withdrawal
5. diaphgram with spermicide
6. condom
7. OCP's

Very effective:
8. IUD
9. female sterilization
10. Depo-provera
11. male sterilization
12. Norplant: *Most effective
Sterilization (Obj #3)
1. Male sterilization
*outpt, takes <30 min
*cut and ligate vas deferens

2. Female sterilization
a. Postpartum tubal ligation:
*after childbirth
*sub-umbilical incision, access peritoneal cavity
-remove part of isthmus of fallop tube

b. interval steriliztion
*does not have to be right after childbirth
*ligate fallop tubes
most effective method of preventing STD's, including viral and bacterial?
condoms
Benefits of OCP
Combination pill:
1. decr risk of endometrial and ovarian cancer; decr risk of ectopic pregnancy

*d/t anovulatory action of OCP's and positive effects of progestins on endometrium

2. decr risk of PID d/t:
-incr viscosity of cervical mucus
-decr menstrual flow

3. decr ovarian cyst formation (b/c OCP's inhibit formation of ovarian follicles)
risks of OCP
1. incr risk of cervical neoplasia
2. thrombosis (and even MI) and HTN--risk greatly increased in smokers b/c nicotine increases clotting==>decr ATIII==>inhibit PG==>incr platelet agg
*However, this is based on old studies when pills contained more steroid

Note: No significant diff in chol/lipoprotein levels in OCP's than normal b/c:
progestins have adverse effect on lipoprotein metabolism==>incr LDL, decr HDL & TG
-but estrogen has opp effect: decr LDL, incr HDL & TG
Do not use OCP's if:
-previous Hx of CV dz like thromembolism
-systemic dz, like sickle cell anemia and lupus
-cigarette smokers >35 y/o
-minor: DM w/o vascular complications, smokers <25 y/o
Long acting steroids
1. Depo-medoxyprogesterone acetaate (DMPA)
-given every 3 months
-pts eventually become amenorrheic b/c prevents gonadotropin surge and thus prevents ovulation
-unlike OCP, no incr risk of thromboembolism or HTN

2. Norplant
-subdermal implant of capsules, lasts 5 years
-major S/E=irregular bleeding
-like DMPA, inhibits ovulation and alters cervical mucus and endometrium

3. Postcoital Contraception
-"morning after pill"
-give within 72 hours of coitus
-high does estrogen prevents implantation

4. Mifepristone=RU486
-given within 6 weeks of amenorrhea, terminates 85% pregnancy
-when combined with PGE, terminates 96% preg
IUD
2 types:
1. Copper T (Cu T)
2. Progestasert (IUD contains progesterone)

-main MOA is spermicidal: creates sterile inflammatory environment for sperm
-lower risk of ectopic pregnancy than non-contraceptive users (by preventing pregnancy in general), but if pregnancy does occur, incr risk of ectopic preg
-S/E= abnl bleeding (main), spontaneous abortion, septic abortion
S/E of IUD
-S/E= abnl bleeding (main), spontaneous abortion, septic abortion
Preg Termination in 1st and 2nd trimester
Roe v Wade:
-State cannot interfere w/abortion in 1st trimester.
-State can regulate in 2nd trimester.
-In TX, abortion is legal for 1st 24 weeks (=6 mo= first two trimesters)

Surgery and Medical Tx for Preg Term:
3 main methods of preg termination:
1. Uterine Curettage (via suction apparatus) [first dilate cervix w/osmotic dilator]
2. Beyond first trimester, may use mechanical means of evacuating the uterus
3. Second trimester: may induce labor (often w/cervical dilator)

*Mifepristone (RU486) in 1st 6 weeks after amenorrhea