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17 Cards in this Set
- Front
- Back
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What effect do high estrogen levels have on cervical mucus?
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Cause it to be clear and stringy (spinnbarkeit)
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What effect do predominantly progesterone have on cervical mucus?
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Cause it to be cloudy, thick and sticky.
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What causes increase in body temp mid cycle?
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Progesterone (0.5C)
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T or F. Combine ocp causes cancer?
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F
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T or F. The combined ocp affects future fertility?
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F
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T or F. Oral contraceptive pill is as effective as Depo Provera?
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Depends on usage. They are the same if pill is used perfectly(97%), typical use however depo is better.
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What are the 4 main mechanisms by which the pill works?
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-suppresses gonadoptropins (FSH and LH) thereby stopping ovulation
-interuption in tubal peristalsis -atrophic changes in endometrium which are not conducive to implantation -alteration of cervical mucus making it less hospitable to spermatozoa |
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What are some benefits of the OCP?
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-regular bleeding cycles
-increased bone density -decreased risk of PID -reduction in ovarian cysts and breast masses -decreased acne and hirsutism -decreased risk of ovarian, endometrial and colon cancer |
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What are some risks of OCP?
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-estrogen increases clotting factors
-DVT and pulmonary embolus risk is increased in all OCP users (but still not as high as during pregnancy) -Arterial TE (MI and stroke) risk increased for high dose, smokers or over 35 -small increase risk of breast cancer |
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What are some contraindications of the OCP?
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Pregnancy
undiagnosed vaginal bleeding -<6wks postpartum and breast feeding -over 35 and >15 cigs a day -HTN -VTE -valvular heart disease -migraine with neuro -current breast ca -diabetes with complications -severe cirrhosis -liver tumor |
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What are important when starting the pill?
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Discuss side effects (transitional)
-use condoms 3/12 screen for stds -what to do for missed pills |
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How does progestin work?
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-inhibits LH so stops ovulation (40% may continue to ovulate)
-atrophic endometrial changes -alters cervical mucus |
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Which birth control methods prevent ovulation?
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Combined OCP
Patch Contraceptive ring DMPA injection |
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Which birth control methods prevent fertilization?
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Progestin only pill
Mirena IUD |
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What are two methods of emergency contraception?
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Pills (Plan B (levonorgesterol) or Yuzpe)
IUD (Copper) |
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What are the time frames for use of emergency contraception?
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Pills -up to 5 days
IUD -up to 7 days |
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What are some side effects of emerg contraception?
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Nausea, vomitting, dizziness
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