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27 Cards in this Set
- Front
- Back
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medical abortion
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common: nausea, diarrhea, vomitting, headaches; rare: excessive bleeding, infection
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misoprostol
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nausea, vomitting, diarrhea, fever, chillscan be teratogenic if given at too low a dose; contrainductation sinlcude long-term corticosteroid use, chronic rehanl failure, anticoagulant use, inherite prophyria, allergy to medication
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methotrexate
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alopecia, leucopenia, interstitial penomonitis
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Instillation
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Causes more hemorrhage, retained products of conception, endometritis
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Dilation + Evacuation (D+E)
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retained tissue, infection, perforation, hemorrhage, posabortal hematoma (related to operator experience), placenta abnormalities that could lead to a hysterectomy, enometritis, pelvic absess, uterine injury (high cervical tear; uterine perforation), asherman syndrome )(intracavoitary adhesions after curettage)
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PDE 5 Inhibitors
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lack of specificity; decreased sperm motility, T synthesis, vaginal smooth muscle and esophageal motility, altered color vision in retina, inhibit platelet aggregation, vasodilation leading to headache, flushing rhinitis; hypotension/tachycardia; GI and visual abnormalities (blue/green tinged vision); DRUG INTERACTION WITH NITRATES
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Ethinyl estradiol/mestranol
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Can increase stroke, MI, pulmonary embolism, breast cancer
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equilin/equilenin
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Can increase stroke, MI, pulmonary embolism, breast cancer
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tamoxifen
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agonist in uterus may limit use
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17a-alkylated androgens
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M SE: inhibit LH/FSH, withdrawal leads to azoospermia/impotence, loss of libido, T --> E (feminization), liver toxicity, cardiovascular toxicity; F SE: inhibit LH/FSH, menstruation effects, anovular cycles, infertility, loss of libido, virilization, liver toxicity, cardiovascular toxicity
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Male Condom
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single use, can break/slip, requires compliance, interferes with spontaneity
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Diaphragm
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latex allergy, requires prescription fitting, requires spermicide reapplied, UTI, TSS, stay in place for 6 hrs post intercourse
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Cervical Cap
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prescription fitting, not all properly fitted, insertion/removal by individual, left in place for 8 hrs post intercourse
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Female Condom
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inserted by individual, one side, 1 intercourse act
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Copper IUD (Permaguard)
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inserted by doctor, bleeding changes
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fertility awareness based methods
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careful tracking of cycling lengths, adherence
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Yuzpe regimin
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increased incidence of side effects due to estrogen; high rates of nausea and vomitting may limit adherence
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Progestin-only pill/plan B/levonorgestrel
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mild degree of side effects including nausea
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Ulipristal acetate (ella)
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mild degree of side effects including nausea, requires prescription and is not widely available
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Estrogen + Progestin OC
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estrogen related (headache, nausea, fluid retentiomn, hypertension, mastalgia, telanglectasia); progestin-related (mood swings, decreased libido, increased appetite, mastalgia)
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Extended Cycle Pill (Seasonale)
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take daily, higher initial rates of breakthrough bleeding than standard, long term data unknown
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365-day pill
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taken daily, higher initial rates of breakthrough bleeding, long term effects not known
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contraceptive patch
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application site rxns, may not be effective in women weighing more than 198 lbs, higher rates of transient breast pain, visible on skin, non-contraceptive health benefits not well studied
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Vaginal Ring
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requires insertion/removal, expulsion, foreign body sensation, or coital problems
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Levonorgestrel IUD (Mirena)
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professional insertion/removal, changes bleeding pattern
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depot medroxyprogesterone acetate
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menstrual changes, regular injections, weight gain, bone loss
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Implanon
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requires clinical visit for insertion/removal, does not protect against STIs
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