Contraceptive Methods

Contraceptive Methods

26 cards   |   Total Attempts: 182
  

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Phases of menstrual cycle
Proliferative: estrogen dominant One follicle is chosen as dominant follicle Secretory: progesterone dominant
What day does the follicle develop and ovulate?
Day 5
Fertilization occurs where?
Ampulla of ovarian tube
Loss of implantation rate is
30%
Loss of oocyte before implantation is
46%
What is the chance of getting pregnant each ovulatory cycle?
25%
Primary effect of BC on fertility is...
Doesn't allow you to ovulate
1. Mortality rate of taking BC 2. Pregnancy rate
1. 8/100,000 2. 9/ 100,000
1. Odds ratio of ischemic strokes while taking BC 2. HTN
1. 3x 2. 10x
Failure rate of BC
3% i.e. 3 of 100 women will become pregnant in one year's study ("Pearl Index")
The contraceptive part of the pill
Progestin
When should you begin BC?
Why?
First day of period Gives you protection from day 1
Contraindications of BC
Strokes History of pulmonary emboli History of DVT Age 35 and smoker Leiden V mutation HTN due to OCP
What is Leiden V mutation?
Mutation that makes you thrombophilic Take a family hx for DVT
Total risk of Leiden V mutation? Who is at highest risk?
5% in general population European descent--esp Minnesota