Contraceptives Flashcards by Miriam Opara | Brainscape

Q

Women >35yo, Nonsmoker

A

Lowest dose estrogen

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Q

Smoker

A

Progestin only pills

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Q

HTN

A

Progestin only or low dose estrogen

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Q

HTN with end organ vascular dx and/or smoker

A

No COC or progestin only

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Q

Monitor K+

A

Drospirenone (Yasmin, Yaz)

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Q

DM w/o vascular disease

A

Okay OC

Progestin might increase insulin resistance

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Q

DM w/ vascular disease

A

No OC

IUD, ParaGard

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Q

Dylipidemia

A

Low dose COCs (except monophasic levonorgestrel)

No OC if uncontrolled

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Q

Thromboembolism

A

DepoProvera or levonorgestrel IUD

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Q

MI

A

Low dose estrogen

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Q

Migraine HA

A

Low dose estrogen
Mircette
Seasonale
CI if migraine w/ aura

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Q

SLE (lupus)

A

Avoid COC

Progestin only

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Q

Obesity (>90kg)

A

DepoProvera or levonorgestrel IUD

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Q

Sickle cell disease

A

DepoProvera

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Q

Postpartum

A

First 21 days—no estrogen

Progestin only or IUD

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Q

Lactation

A

Avoid COC for 6 wks

Progestin only after 6wks

Q

Acne

A

Ortho tri-cyclen
YAZ, Yasmin
Estrostep

Q

Early breakthrough bleeding/spotting (days 1-9)

A

Increase estrogen

Q

Late breakthrough bleeding/spotting (days 10-21)

A

Increase progestin

Q

Weight gain

A

Less androgenic:

desogrestrel (Mircette)
norgestimate (ortho tri-cycle)
drosperinone (Yaz, Yasmin)

Q

Dysmenorrhea (cramps)

A

Extended or continuous cycle

Q

Bloating

A

Yasmin or YAZ (drospirenone & EE)