Contraception

Question 0

Contraception that offers most protection against genital herpes?

Answer 0

Female condom

Question 1

Yuzpe regimen?

Answer 1

Two tablets of oral contraceptives (.1 mg estradiol and .5 mg levonorgestrel) at time zero and two tablets after 12 hours

Question 2

Types of barrier contraceptives?

Contraindications?

Answer 2

Diaphragm, cervical caps, condoms

Pelvic organ prolapse, allergies

Question 3

Combined hormonal contraception – mechanism (same for progesterone only)? Types?

Answer 3

1. Inhibits ovulation
2. Thickens cervical mucus (inhibits sperm penetration)
3. Alters motility of uterus and fallopian tubes
4. Thins endometrium

OCP, patch, ring

Question 4

Place patients with these medical problems on combined hormonal contraception:

Answer 4

Iron deficiency anemia, dysmenorrhea, ovarian cysts, endometriosis

Question 5

Contraindications to combined hormonal contraceptives?

Answer 5

1. Thrombogenic mutations, prior thromboembolic event, coronary artery disease
2. Cigarette smoking over age 35
3. Uncontrolled hypertension
4. Diabetic complications
5. Breast or Endometrial cancer
6. Migraines with aura
7. Liver disease/cancer/failure

Question 6

Breast-feeding patient – best contraceptive?

Answer 6

Progesterone only

Question 7

Consider giving depo for which patients? Complications?

Answer 7

Sickle cell disease and epilepsy

Also can be used in breast-feeding patients, ovarian cyst, endometriosis, iron deficiency anemia

Weight gain, osteoporosis

Question 8

Contraindications for Implanon?

Answer 8

History of thrombosis, liver disease, breast-cancer

Question 9

Contraindications for IUD?

Answer 9

1. Current STI or recent PID
2. Malignant gestational trophoblastic disease
3. Cervical/endometrial cancer, breast cancer
4. Anatomical abnormalities

Question 10

Timing of a vaginal diaphragm?

Drawbacks of using diaphragm?

Answer 10

Placed 1-2 hours before intercourse, left in place for eight hours after intercourse

Higher UTI rate, increased risk of ulceration to vaginal epithelium

Question 11

Combined hormonal contraception increases risk for?

Answer 11

1. Venus thromboembolism
2. strokes (in patients with migraines with aura)
3. MI in smokers over 35
4. Cholelithiasis
5. Benign hepatic tumors

Question 12

Contraceptive patch has less efficacy if? Recent FDA warning indicates?

Answer 12

Weight greater than 92 kg; twice DVT rate of OCP

Question 13

Return to fertility after stopping contraception?

Answer 13

2 weeks if using pills, patches, rings

4 weeks after stopping injection

Question 14

Hormone IUD versus regular IUD – length of use?

Answer 14

Five years versus 10 years

Question 15

Types of emergency contraception?

Answer 15

1. Yuzpe method
2. Progestin only (two 0.75 mg levonorgestrel taken 12 hours apart)
3. IUD – five days after intercourse

Question 16

Most common side effect of the Yuzpe regimen?

Answer 16

Nausea vomiting