Contraceptive Methods Selection
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Questions and Answers

What is a critical factor to assess when selecting a contraceptive method for a patient?

  • The patient's weight
  • The patient's occupation
  • The patient's education level
  • The patient's frequency of intercourse (correct)

    • What is the primary concern when evaluating a patient's concomitant medications in relation to hormonal contraceptives?

  • The patient's adherence to the medications
  • The cost of the medications
  • Potential drug–drug interactions (correct)
  • The patient's medical history

    • What is the primary advantage of fertility awareness-based methods of contraception?

  • Low cost
  • High effectiveness in preventing pregnancy
  • No need for prescription or medical supervision (correct)
  • Flexibility in timing of sexual intercourse

    • What is the primary drawback of fertility awareness-based methods of contraception?

    <p>Relatively high pregnancy rates</p> Signup and view all the answers

    What is the primary purpose of emergency contraception?

    <p>To prevent pregnancy after unprotected intercourse or when regular contraceptive methods have failed</p> Signup and view all the answers

    What is a notable feature of the Natural Cycles app?

    <p>It is the only FDA-approved fertility awareness app</p> Signup and view all the answers

    What is the primary consideration when choosing an oral contraceptive?

    <p>Hormonal content and dose</p> Signup and view all the answers

    What should a woman do if she experiences serious warning signs while taking CHCs?

    <p>Consult her provider immediately</p> Signup and view all the answers

    Why do many women discontinue OCs?

    <p>Because of the side effects</p> Signup and view all the answers

    How long should a woman wait before reassessing her OC if she is experiencing side effects?

    <p>2-3 months</p> Signup and view all the answers

    What happens to many side effects of OCs over time?

    <p>They improve spontaneously with continued use</p> Signup and view all the answers

    Why is patient education and early reevaluation important?

    <p>To identify and manage adverse effects and improve adherence</p> Signup and view all the answers

    What is the efficacy rate of Intrauterine Devices (IUDs)?

    <p>Greater than 99%</p> Signup and view all the answers

    Why must clinicians receive training from the manufacturer prior to insertion or removal of the IUDs?

    <p>To ensure the IUD is inserted correctly</p> Signup and view all the answers

    What is a contraindication for the insertion of an IUD?

    <p>All of the above</p> Signup and view all the answers

    What is the major adverse effect associated with IUDs?

    <p>Irregular menstrual bleeding</p> Signup and view all the answers

    What should be done if an IUD is already in place and the patient contracts an STI/STD?

    <p>The IUD can remain in place while the STI/STD is being treated</p> Signup and view all the answers

    How many IUDs are currently available?

    <p>Five</p> Signup and view all the answers

    What should a patient do if they miss tablets in the last week of hormonal tablets?

    <p>Finish the remaining active tablets and then start a new pack of tablets</p> Signup and view all the answers

    What is the average delay in ovulation after discontinuing OCs?

    <p>1 to 2 weeks</p> Signup and view all the answers

    What is recommended for women who experience amenorrhea beyond 6 months after discontinuing OCs?

    <p>See a physician for further fertility workup</p> Signup and view all the answers

    What is the classification for thalassemia regarding combined hormonal contraceptives?

    <p>Category 1: No restriction</p> Signup and view all the answers

    What is recommended for patients who miss tablets and need to take two tablets on the same day?

    <p>Use additional nonhormonal contraception until tablets of active hormone have been taken for 7 consecutive days</p> Signup and view all the answers

    What is the effect of OC use on subsequent fertility?

    <p>It has no impact on fertility</p> Signup and view all the answers

    Which of the following medical conditions is associated with a higher risk for VTE without other risk factors?

    <p>Diabetes mellitus, type 1 or type 2</p> Signup and view all the answers

    A patient has a history of pregnancy-related cholestasis. Which of the following is a relevant consideration for this patient?

    <p>The patient is at higher risk for VTE</p> Signup and view all the answers

    Which of the following is a risk factor for VTE, but not for arterial cardiovascular disease?

    <p>History of breast cancer and no evidence of disease for 5 years</p> Signup and view all the answers

    A patient is breastfeeding 42 days or more postpartum. Which of the following is a relevant consideration for this patient?

    <p>The patient is at higher risk for VTE</p> Signup and view all the answers

    Which of the following medical conditions is not a risk factor for VTE?

    <p>Migraines without aura</p> Signup and view all the answers

    A patient has a history of peripartum cardiomyopathy, normal or mildly impaired cardiac function ≥6 months. Which of the following is a relevant consideration for this patient?

    <p>The patient is at higher risk for VTE</p> Signup and view all the answers

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