Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
Combination Pill (Effectiveness %?)
|
synthetic estrogen/progesterone “progestin”
(Theoretical 99.7%; Actual 95%) |
|
|
How the (combination) pill works:
|
b. Signals hypothalamus to stop making GnRH
c. Progestin inhibits LH production by pituitary (mechanism unknown) d. Cervical mucosa thickens, blocking sperm passage e. Inadequate endometrial build-up prevents implantation f. Newer combos also have Testosterone; others mimic fluctuating E/P levels (multiphasic) |
|
|
Disadvantages of the (combination) pill
|
i. Nausea, weight gain, headaches, skin darkening on face, depression, missed periods
ii. Increase BP; increase heart attacks: raises LDLs (assoc. w/cholesterol), lowers HDLs (which prevent cholesterol deposition in arteries a. Problem solved w/3 new progestins b. 70 deaths/year from this - 10X lower than childbirth or auto accident death |
|
|
DMPA (Depo-Provera) (Effectiveness %?)
|
Progesterone derivative; (ovulation inhibitor); shot every 3 months
(>99%) |
|
|
Disadvantages of DMPA
|
a. Irregular bleeding (decrease over time)
b. Fertility returns after 6-24 months (must discontinue 1-2 yrs. Before trying for PG) c. Osteoporosis (bone density loss) d. Loss of libido, increased body hair, skin rashes or darkening |
|
|
NORPLANT (Effectiveness %?)
|
6 Silastic capsules implanted in arm (1 ½” long), release low dose of synthetic progestin type hormone (levonorgestrel); no E; lasts 5 years; prevents ovulation and thickens cervical mucus);
(99.8%) |
|
|
Disadvantages of NORPLANT
|
a. Irregular bleeding 1st year (due to constant hormone levels); eventually adjust
b. Headache, nausea, breast tenderness, wt. gain, nervousness, depression, acne, increase in facial/body hair |
|
|
LUNELLE(Effectiveness %?)
|
Monthly injection of synthetic estrogen and progesterone into the arm, buttocks or hip; researching a self-injection version, or having pharmacist inject it
(99%) |
|
|
Disadvantages of LUNELLE
|
SAME AS THE PILL
|
|
|
terato
|
= monster
|
|
|
Amenorrhea
|
(lack of menstruation)
|
