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21 Cards in this Set

  • Front
  • Back
mini pill is progestin only, is it followed by a pill free week?
no, however pills with estrogen have to have a pill free week because estrogen builds up uterus causing cancer
is the mini pill weaker or stronger
weaker and there is only a 15 min window so its important to take in window
true or false, when using a patch or ring, bc estrogen in this method is locally absorbed women who r breastfeeding can use this method
false
when is the ring changed
once every three weeks and then is left out of the vagina for one week
a man must ejaculate ____ times b4 live sperm can be cleared from the vas deferens
30
what determines if permanent sterilzation has been a success
semen samples are taken
what happens after a tubal ligation to the sperm
the passage is blocked
what is failure rate once sterilization has been done
0.5%
do lambskin condoms protect against stds
no only male latex or female polyerthane , it has large pores that lets in viruses
when does spinnbarkeit occur
at the point of ovulation, sperm likes cervical mucous that occurs during ovulation and this helps them travel
the woman knows that she has ovulated when the bbt rises ___ -____ and remains elevated for ___________
.4-.8 degrees/ rest of the month
progesterone causes a increase in body temp after ovulation and stays up till nxt period
explain the calendar method
u must calculate the shortest and longest cycle length. formula is subtract 11 days from the longest cycle and 18 days from the shortest to determine fertility window..
what is the female condom
thin, polyurethane sheath with flexible rings at each end which covers the cervix,lines the vagina,partially shields the perineum...95% effective
what r 3 important things to teach about the female condom
- insert closed end into vagina
- about 1 inch of the sheath from the flexible ring should b left outside of the introitus
- tell client that after sex, she should remove the condom b4 standing up by squeezing and twisting the outer ring to close the sheath while gently pulling it out of vagina
advantages and disadvantages of female condom?
a- can put in 8 hrs b4 sex, if sensitive to laxtex this is good,std protection,no prescription, can use lubericant if u want, breast feeding moms can use
d- may twist/slip during sex, penis may b outside condom, improper removal results in poss ejaculation leaking, irritation, at first insertion may be difficult
how does an IUD work?
the specific action is unknown, contraception is achieved by triggering a spermicidal reaction wth local inflammation of the edometrium, preventing fertilization
how does mirena work?
it releases progestine gradually from a reservoir and is good for those allergic to copper , may b left in place 4 5 yrs, avoid if allergic to levonorgestrel
the paragard IUD, has copper, left in place 4 10 yrs, no hormone
copper t380A
5 things to teach on IUDs
- cramping/bleeding may occur 4 2-6 wks @ insertion
- first few menses may be irregular
- follow up exam 4-8wks
- tell woman to check 4 string protruding thru cervix by putting finger in vag 1x a week 4 1st month and then after period
- call doc if gets std
advant? disadvan? of IUD
a- highly effective/continuous protection, dont interact with meds, good option 4 women that cant use hormones,breastfeeding,smokerover 35
d- doc must insert, discomfort/bleeding/cramping, at risk 4 PID 4 first 3 weeks after insertion, may perforate uterus, may b expelled spontaneously, not protect against stds
how does the oral pills work
act by inhibiting the release of an ovum, blocks the cycle release of GnrH and changes cervical mucus