Which infertility awareness method is the LEAST reliable?
Calendar rhythm method
What type of lube should be used with male condoms?
Water-soluble
What is the overall effectiveness of IUDs against pregnancy?
>99%
What do estrogen + progesterone in COCs suppress to prevent ovulation?
FSH and LH from the hypothalamus/pituitary glands
What is the difference between primary and secondary infertility?
Primary - never conceived
Secondary - difficulty conceiving after having a child
What happens to basal body temperature after ovulation?
Slightly increases due to increased progesterone
What is one major limitation of female comdoms?
Only ~79% effective for pregnancy prevention
Which IUD may increase menstrual bleeding?
What contraceptive is implanted subdermally?
Nexplanon/Implanon
What is the purpose of ovulation-stimulating drugs?
To help women who do not ovulate produce multiple follicles/eggs
What characteristic does cervical mucus have around ovulation?
Thin, clear, stretchy - like egg whites (Spinnbarkeit)
How long must a diaphragm remain in place after intercourse?
6 hours
How long does the hormonal IUD last?
Up to 5 years
What is the primary teaching acronym for COC danger signs?
Abdominal pain
Chest pain
Headache
Eye problems
Severe leg swelling
What male factor infertility treatment stimulates sperm production?
Testes-stimulating drugs for low sperm count
Which method combines BBT, cervical mucus, cervix changes, and mittleschmerz
The symptothermal method
What determines the size of a cervical cap?
Pregnancy and delivery history
(S/M/L)
Why doesn't NSAID use help with insertion pain for IUDs?
NSAIDs don't reduce pain during placement but help cramping afterwards
People with what contradiction(s) should NOT use COCs?
Heavy smokers, pregnancy, liver disease, clot history, migraines with aura, HTN
What is intrauterine insemination (IUI)?
Placing seme at the cervical os or directly into the uterus
What hormone does the ovulation predictor kit detect in urine?
LH
How long can the vaginal contraceptive sponge remain in place?
Up to 30 hours
*Must stay in at least 6 hours after intercourse*
What should a patient do s they have an IUD and are exposed to an STI?
Contact their HCP
Why must progesterone-only (mini pill) be taken at the same time every day?
It becomes less effective if taken late
Describe one key step in IVF
Eggs harvested from ovaries --> fertilized in lab --> embryos transferred into uterus