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15 Cards in this Set

  • Front
  • Back
biggest way that OC prevents pregnancy
prevent ovulation

also: alter cervical mucous, change endometrium to make implantation unlikely
What are some of the non-contraceptive benefits of the pill? 5
Lower overall incidence of endometrial and ovarian cancer

Lower rate of pelvic infection

Prevent ectopic pregnancy & complications of intrauterine pregnancy

Menstrual cycle control
Predictable, shorter, lighter, less painful

Acne treatment (some preparations)
in the first 3 months of starting the pill, what is a common complaint?
breakthrough bleeding

make sure to rule out pregnancy and continue the pill
at what age is smoking and OC really contraindicated?
35
considering Pill use vs pregnancy, which is a higher risk for thrombosis?
pregnancy
when are you at highest risk for thrombosis (female)
pregnancy and 3-6 weeks postpartum

give super low dose birth control?
how can you tell if a pt is in menopause?
FSH and LH will be really high
again..what are the absolute contraindications of the pill (5)
Thrombophlebitis, thromboembolic event

Cerebral vascular disease/stroke

Coronary occlusion

Impaired liver function

Known or suspected breast cancer
at what weight do transdermal patches become less effective?
198

(that'll be 60 dollars)
reason to discontinue vaginal rings?
vaginal symptoms

can be dislodged (during intercourse, just rinse it off and put it back in)
what is depo-provera?

biggest problem with this?
IM contraceptive every 3 months

UNPREDICTABLE BLEEDING (will go away by 2nd or 3rd shot)

other issues:
Decrease in lumbar bone mineral density
Weight gain (5-8 lbs year 1-2)
Delayed resumption of menses after discontinuation
this is a subQ tx that gives 3 years of contraception...major side effect?
Implanon

irregular bleeding
how does a diaphragm work for contraception?
Springy ring with rubber dome
Proper use includes spermicidal jelly/cream into center and rim, inserted to cover cervix & anterior vaginal wall
Three types, must be properly sized and fitted
50-105 mm; most common 60-85 mm
Refit after weight change, vaginal delivery, surgery
Inserted before intercourse (up to 1 hr.) and left in place for 6-8 hrs after
Pregnancy rate up to 18%
What is natural family planning?
Attempts to prevent pregnancy by avoiding intercourse at time of ovulation +/or adding other methods only at this time (barriers or spermicides)
Estimation of “fertile period” :
Calendar method (day 10-17 for 28 day cycle)
Basal body temperature (temp rise 0.5-1 F. ovulatory)
Increase in stretchy clear cervical mucous
Pregnancy rate up to 20+ %
Safe, inexpensive; major s.e. is pregnancy
Who is the best candidate for oral contraception pills?

**EXAM**
Healthy, NONSMOKING woman