Stats
What is the effectiveness of withdrawal?
20-26 pregnancies per 100 women in 1 year (typical use)
What is the Rhythm method?
Avoiding intercourse during ovulation
Side effect of Paragard IUD
Heavy menstrual bleeding, dysmenorrhea, spotting
IUD can only be inserted into a parous woman
False
What is the most effective method of contraception?
Abstinence
What is the effectiveness of condoms?
18 pregnancies per 100 women in 1 year (typical use)
What is the mechanism of Paragard IUD?
Copper is spermicidal
Side effects of Levonogestrel IUD
Breakthrough bleeding
OCPs cause depression
False
What is the most effective LARC?
Nexplanon (0.05% failure)
What is the effectiveness of OCPs/Patch/Ring?
6-12 pregnancies per 100 women in 1 year
What is the mechanism of Nexplanon/Depo-Provera?
Systemic progesterone inhibits ovulation and thins out endometrium
Side effects of Nexplanon
Breakthrough bleeding, irregular bleeding
Breastfeeding can prevent pregnancy
True
How long a woman can wait to have an unprotected intercourse after starting contraception?
7 days
What is the effectiveness of Depo-Provera?
6-12 pregnancies per 100 women in 1 year
What is the mechanism of Levonogestrel IUD?
Thinned endometrium, decreased fallopian tube peristalsis, thickened cervical mucus
Side effects of Depo-Provera
Weight gain, headache, irregular bleeding
OCPs can cause infertility
False.
It does take up to several months for menses to return (median 4 months)
Which IUD can be used for an emergency contraception?
Copper IUD
What is the effectiveness of IUDs?
Mirena 0.2%, Copper IUD 0.8%
List emergency contraception methods
•Paragard IUD
•Ullipristal (Ella) – P modulator, inhibits ovulation
•Plan B (Levonogestrel)
•High dose OCP
Side effects of OCPs
Nausea, breast tenderness, elevated BP, VTE, breakthrough bleeding
IUDs increase the risk of PID
False
Old versions of IUDs had braided strings that increased the risk of an ascending infection. However, active cervicitis/PID is a contraindication for IUD insertion.
What are the contraindications to OCPs?
●Age > 35 and cigarette smoking
●HTN
●migraine with aura
●breast cancer
●history of VTE/stroke or known thrombogenic mutations