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30 Cards in this Set
- Front
- Back
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% pregnancies unintentional
% ending in abortion ? |
55%
44% |
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Lactational Amenorrhea
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hypothalamic-induced suppression of ovulation
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Condom effectiveness
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98%
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The only method of protection against HIV:
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Condoms
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Diaphragm SEs:
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TSST
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Pelvic infections associated w/ this product resulted in consumer fear of the IUD.
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Dalkon shield
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Name the 3 IUDs
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Paragard (Copper-T IUD)
Progestasert (Progesterone T) - nvr used Mirena (Levonorgestrel) |
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IUD mechanism of action
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sterile spermicidal inflammatory response
- sperm engulfed, immobilized & destroyed by inflammatory cells |
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do not affect ovulation
are not abortifacients reduces tubal motility |
IUDs
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IUD spontaneous abortion rate
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40-50%
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risk of life-threatening spontaneous septic abortion
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Dalkon shield
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pseudopregnancy
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OCPs
- interferes w/ pulsatile release of FSH/LH - suppresses ovulation |
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no follicle growth, recruitment, ovulation
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OCPs
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E / P combo pill regimen
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21 days on
7 days of placebo |
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Estrogen dose to increase coagulability
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50ug
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decrease LDL
increase HDL in those smoking > 1 pk / day |
progestins in combo OCPs
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OCPs increases risk for
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benign hepatic tumors
gallbladder ds NOT breast CA |
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OCP benefits
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decr benign breast ds
decr endometrial CA decr ectopic pregnancy decr ovarian CA decr PID |
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Monthly injectable contraceptive
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Lunelle
5mg estradiol 25mg medroxyprogesterone |
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contraceptive patch
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Evra
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Nuvaring
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120 mcg etonogesterol daily
15 mcg ethinyl estradiol daily - decr FSH / LH - removed after 3rd wk |
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thickens cervical mucous
makes endometrial lining inhospitable - nursing mothers |
progesterone-only contraceptives
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medroxyprogesterone acetate
SE: Contraindication: Time to return to ovulation after stop? |
Depo-Provera
irregular menstrual bleeding depression sometimes 6 - 18 months !! |
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high dose E & P post-intercourse
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emergency contraceptive pills
- do not cause abortion ! |
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Plan B
Preven |
- Emergency OCPs
- progesterone only - estrogen + progesterone |
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2 doses, 12 hrs apart, w/in 72 hrs
- downsides ? |
emergency OCPs
- 72 hr window, nausea, teratogenic |
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Emergency Copper T IUD
Mechanism ? |
w/ in 7 days
sterile inflammatory response |
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bilateral tubal ligation mortality rate
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4 / 100,000
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time to azoospermia after vasectomy
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6-8 weeks !!
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antisperm antibodies
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post-vasectomy
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