Bone Density Changes and Progestin Only Contraceptives

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Which contraceptive method mentioned in the text has the same effectiveness as female sterilization?

Intrauterine devices (IUD) (correct)

Depo-Provera

Diaphragm

Condoms

What is emphasized as important when discussing contraceptive options with patients?

Only talking about benefits, not risks

Avoiding any mention of side effects

Tailoring the method to the patient and partner (correct)

Not discussing efficacy rates

Which organization published eligibility criteria for contraceptive use according to the text?

Planned Parenthood

UNICEF

CDC (Centers for Disease Control and Prevention)

WHO (World Health Organization) (correct)

What is described as 'not as popular anymore' in terms of contraceptive methods?

Diaphragm Signup and view all the answers

In discussing contraceptive options, why is it important to inform patients about the risks and benefits of each method?

To help patients make informed decisions Signup and view all the answers

What type of contraceptive method is Essure?

Female sterilization Signup and view all the answers

What method involves using a spermicidal jelly or foam placed inside the diaphragm and then inserted over the cervix?

Diaphragm method Signup and view all the answers

Which method was mentioned to be back on the market, alongside condoms and spermicides?

Sponge Signup and view all the answers

What percentage of reliability is associated with the withdrawal method?

22% Signup and view all the answers

Which method requires a pelvic exam for insertion, unlike other contraceptive methods?

IUD Signup and view all the answers

Which organization developed the MEC app, which helps in deciding the safest contraception method for patients?

CDC Signup and view all the answers

What should healthcare professionals focus on during contraceptive planning with patients?

Shared decision-making Signup and view all the answers

Which type of contraceptives can have a negative effect on blood pressure according to the text?

Estrogen and combined hormonal contraceptives Signup and view all the answers

Which contraceptive method does NOT require a pelvic exam to start, except if opting for IUD insertion?

Male condom Signup and view all the answers

"You can insert it several hours before intercourse" - this statement refers to which contraceptive method?

Diaphragm method Signup and view all the answers

"It is 22% reliable, which is not much, but better than nothing." - This relates to which contraceptive method reliability according to the text?

Withdrawal method Signup and view all the answers

Which type of contraceptive pills are typically encouraged to be taken with lunch to ensure better efficacy?

Progestin-only pills Signup and view all the answers

What is a common side effect associated with progestin-only pills mentioned in the text?

Breakthrough bleeding Signup and view all the answers

Which contraceptive method allows for a period-free month by cycling for four weeks?

Patch Signup and view all the answers

What is a unique feature of the vaginal ring compared to other contraceptive methods?

Left in during intercourse Signup and view all the answers

Which contraceptive method allows the patient to have a period-free month by leaving it in for an extra week?

Placebo pills Signup and view all the answers

What is the purpose of using a four-day placebo pack in contraceptive pills?

Allowing for a period-free month Signup and view all the answers

Which characteristic makes the patch similar to oral contraceptives, besides containing hormones?

'Patch-free' week interval Signup and view all the answers

What is the purpose of hormonal contraceptives affecting the thickness of cervical mucus?

To create a barrier for sperm to swim through Signup and view all the answers

Which hormone component in hormonal contraceptives prevents the luteinizing hormone surge?

Progestin Signup and view all the answers

What is one of the side effects associated with estrogen in hormonal contraceptives, especially dangerous for patients with coagulation problems?

Breast tenderness Signup and view all the answers

Which condition would be a contraindication for providing hormonal contraceptives?

Breast cancer Signup and view all the answers

How do progestins in hormonal contraceptives affect the endometrium?

They thin it out Signup and view all the answers

Which method of birth control primarily prevents egg recruitment by affecting luteinizing hormone and follicle stimulating hormone levels?

Hormonal contraceptives Signup and view all the answers

What effect does estrogen have on the thickness of the endometrium?

Increases it Signup and view all the answers

Which side effect can progestins in hormonal contraceptives cause that resembles changes during pregnancy?

Increased appetite Signup and view all the answers

What impact does a history of STD have on a patient's eligibility for an IUD?

It does not affect whether a patient can have an IUD or not. Signup and view all the answers

When screening patients for STDs, what is the current protocol regarding IUD removal upon a positive result?

IUD removal is not required unless the patient has PID symptoms. Signup and view all the answers

What procedure might a healthcare provider use to measure the depth of the uterus before IUD insertion?

Uterine sound Signup and view all the answers

In what scenario does a patient consult with a gynecologist regarding an IUD?

When they experience symptoms of PID Signup and view all the answers

What device is used to remove an IUD from a patient?

Ring forceps Signup and view all the answers

What method might be considered for allowing patients to remove the IUD themselves according to recent studies?

Self-removal with ring forceps guidance Signup and view all the answers

What is the purpose of a quick start method for combined hormonal contraceptives?

To initiate pill usage on the same day of the clinical visit if certain criteria are met Signup and view all the answers

Why might Sunday start be recommended for some individuals?

To provide period-free weekends for certain activities Signup and view all the answers

What is the primary reason for recommending a first day start approach?

To align with the start of the patient's menstrual period Signup and view all the answers

What do LARCs stand for in the context of contraceptive methods?

Long Acting Reversible Contraceptives Signup and view all the answers

Why are progestin-only methods like Depo-Provera not ideal for individuals who prefer regular periods?

They often cause amenorrhea or irregular bleeding Signup and view all the answers

What characteristic makes the ring a discreet contraceptive option according to the text?

It remains inside and is challenging to detect externally Signup and view all the answers

Which method allows patients to start birth control next Sunday if their pregnancy test is negative and based on their sexual history they are not likely to be pregnant?

Sunday start Signup and view all the answers

What is a hepatic adenoma?

A benign liver tumor influenced by estrogen Signup and view all the answers

Why should patients with hepatic adenomas avoid hormonal-based contraception?

To avoid worsening of the adenoma Signup and view all the answers

What is a significant risk factor for clotting issues in patients over 35 years old?

Smoking Signup and view all the answers

What should patients report if they develop abdominal pain, chest pain, headaches, and severe leg pain after starting hormonal contraception?

Eye problems or visual changes Signup and view all the answers

What does COC stand for in the context of contraceptives?

Combined Oral Contraceptive Signup and view all the answers

What does CHC refer to in the context of contraceptives?

Combined Hormonal Contraceptive Signup and view all the answers

What is recommended for patients using Depo-Provera to help improve reversible bone density changes after stopping the agent?

Supplemental calcium and daily weight bearing exercise Signup and view all the answers

For how long are progestin-loaded rods like Nexplanon approved for use in the US?

Three years Signup and view all the answers

What is the recommended training time for healthcare professionals to learn to insert and remove Nexplanon rods effectively?

2-3 hours Signup and view all the answers

Which method of contraception is praised for its privacy due to the fact that no one needs to know the patient has it except for the healthcare provider and the patient herself?

IUDs Signup and view all the answers

What is a common side effect associated with progestin-based IUDs due to the release of progestin into the endometrium?

Amenorrhea and irregular bleeding Signup and view all the answers

Which statement is true about copper-based IUDs?

Act as a spermicide and cause heavier periods Signup and view all the answers

Why might a patient opt for a copper-based IUD over hormonal methods?

Contraindications to hormonal methods or a preference for a non-hormonal option Signup and view all the answers

What effect does copper have in copper-based IUDs?

Acts as a spermicide and makes the uterine lining unstable Signup and view all the answers

What is a potential risk associated with copper-based IUDs?

Heavier periods and cramping Signup and view all the answers

What type of patients can use IUDs according to common myths?

Patients who have never given birth but can have it inserted through the os Signup and view all the answers