Reversible Bone Density Changes from Contraceptive Methods
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Questions and Answers

What are among the most common types of contraception used in the US?

  • Condom use and injectable contraceptives
  • Tubal implants and male contraceptive pills
  • Male sterilization and implantable birth control
  • Oral contraceptive pills and female sterilization (correct)
  • Why is it important to tailor contraceptive options to the patient and the partner?

  • To provide more expensive options for wealthier patients
  • To limit the choice of contraceptive methods available
  • To encourage the use of permanent sterilization methods
  • To ensure cultural or religious preferences are respected (correct)
  • What is a key aspect that patients should understand about their contraceptive method?

  • The availability at local convenience stores
  • The cost of the method compared to others
  • The brand popularity among their peers
  • The potential side effects and efficacy rate (correct)
  • Which family planning methods are as effective as sterilization according to the speaker?

    <p>Implants and intrauterine devices (IUD)</p> Signup and view all the answers

    What is the reason behind the change in the recommendation regarding monogamous, stable relationships for IUD use?

    <p>Patients are no longer required to be in monogamous relationships if they also use protection like condoms</p> Signup and view all the answers

    Why is the history of STD no longer a barrier to using an IUD?

    <p>A history of STD no longer affects a patient's eligibility for an IUD</p> Signup and view all the answers

    When is it necessary to consult a gynecologist regarding IUD removal?

    <p>When the patient tests positive for PID</p> Signup and view all the answers

    Why is it important to perform a pelvic exam before IUD insertion?

    <p>To assess the position of the uterus and cervix</p> Signup and view all the answers

    What is a key characteristic of progestin-only pills (POPs)?

    <p>They should be taken at the same time daily.</p> Signup and view all the answers

    What is used to measure the depth of the uterus for IUD insertion?

    <p>Uterine sound</p> Signup and view all the answers

    What is a common side effect of progestin-only pills (POPs)?

    <p>Breakthrough bleeding</p> Signup and view all the answers

    What technique is used for removing an IUD?

    <p>Use of forceps to twist and pull out the IUD</p> Signup and view all the answers

    What is an important recommendation for patients using progestin-only pills (POPs)?

    <p>Ensuring they take the pill at the same time daily.</p> Signup and view all the answers

    What is the recommended placebo pack length for the most efficacious pill?

    <p>Four days</p> Signup and view all the answers

    How often should the patch be worn for contraceptive purposes?

    <p>Weekly for three weeks</p> Signup and view all the answers

    What can be done to have a period-free month when using contraceptive patches?

    <p>Cycling for four weeks of patches</p> Signup and view all the answers

    How long is the ring left in the vagina for contraceptive purposes?

    <p>Three weeks</p> Signup and view all the answers

    What happens if a patient forgets to remove the contraceptive ring after three weeks?

    <p>No impact on pregnancy protection</p> Signup and view all the answers

    What does the author suggest regarding informing patients about potential side effects of contraceptive methods?

    <p>Fully disclose all potential side effects to ensure informed decision-making.</p> Signup and view all the answers

    What advice does the author give regarding the plastic ring used as a contraceptive method?

    <p>Patients can choose not to inform their partners initially about its presence.</p> Signup and view all the answers

    What is mentioned as a potential benefit of using contraceptive rings or patches?

    <p>Enabling period-free months if needed.</p> Signup and view all the answers

    What patient population does the author recommend contraceptive rings as suitable for?

    <p>Teenage girls needing discreet birth control.</p> Signup and view all the answers

    What method involves using spermicidal jelly or foam placed on the inside of the diaphragm?

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

    Which method can be inserted several hours before the act of intercourse?

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

    How reliable is the withdrawal method?

    <p>22%</p> Signup and view all the answers

    Which method requires a pelvic exam for insertion?

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

    What app, mentioned in the text, helps in deciding the safest contraception method?

    <p>MEC App</p> Signup and view all the answers

    Which method is specifically mentioned as NOT requiring a pelvic exam to start?

    <p>Fertility awareness methods</p> Signup and view all the answers

    What effect can estrogen and combined hormonal contraceptives have on blood pressure?

    <p>Negative effect</p> Signup and view all the answers

    What is the common misconception mentioned in the text regarding withdrawal method?

    <p>'Withdrawal method is as effective as other methods.'</p> Signup and view all the answers

    What type of discharge is checked in fertility awareness methods?

    <p>'White' discharge</p> Signup and view all the answers

    'The only method that mandates a pelvic exam is IUD insertion.' What does this statement imply about other contraceptive methods?

    <p>'Other methods do not require a pelvic exam.'</p> Signup and view all the answers

    What does the World Health Organization and CDC designed app help with?

    <p>Deciding the safest contraception method based on individual needs and medical conditions</p> Signup and view all the answers

    What does estrogen and combined hormonal contraceptives have negative effects on?

    <p>Blood pressure only</p> Signup and view all the answers

    What is the main reason for not wanting to give hormonal-based contraception to patients with hepatic adenoma?

    <p>Growth of the adenoma under the influence of estrogen</p> Signup and view all the answers

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

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

    What does the ACHES mnemonic aim to help patients report regarding hormonal-based contraception?

    <p>Clotting problem warning signs</p> Signup and view all the answers

    What does COC stand for in the context of contraceptives?

    <p>Combined oral contraceptive</p> Signup and view all the answers

    Which term refers to contraceptive pills that contain both estrogen and progestin, as well as patches and rings?

    <p>Combined hormonal contraceptives (CHCs)</p> Signup and view all the answers

    What is the characteristic of monophasic birth control pills?

    <p>They always provide the same dose of estrogen and progestin every day of the month</p> Signup and view all the answers

    What issue can patients experience with low-dose contraceptive pills?

    <p>Breakthrough bleeding</p> Signup and view all the answers

    What does POP stand for in the context of contraceptives?

    <p>Progestin only pill</p> Signup and view all the answers

    What is the primary reason for recommending higher dose contraceptive pills to certain patients?

    <p>To prevent breakthrough bleeding</p> Signup and view all the answers

    What do triphasic birth control pills refer to?

    <p>Pills with different doses for each week of the pill pack</p> Signup and view all the answers

    Which patient population should be cautious when using low-dose contraceptive pills?

    <p>Patients who are smokers over 35 years old</p> Signup and view all the answers

    What are CHCs commonly referred to as besides pills?

    <p>Patches or the ring</p> Signup and view all the answers

    What method is used to start combined hormonal contraceptives quickly?

    <p>Quick start</p> Signup and view all the answers

    Which contraceptive method is notorious for causing amenorrhea?

    <p>Depo-Provera injection</p> Signup and view all the answers

    What is the meaning of the term 'LARC' in the context of contraception?

    <p>Long Acting Reversible Contraceptive</p> Signup and view all the answers

    What is the key consideration for starting combined hormonal contraceptives using the Sunday start method?

    <p>Patient should start next Sunday if pregnancy test is negative and not likely to be pregnant</p> Signup and view all the answers

    Why might the Depo-Provera injection not be the best contraceptive method for some patients?

    <p>It leads to irregular bleeding and spotting</p> Signup and view all the answers

    What is the traditional approach for starting combined hormonal contraceptives?

    <p>First day start</p> Signup and view all the answers

    What is the primary advantage of the Sunday start method for combined hormonal contraceptives?

    <p>Provides period-free weekends</p> Signup and view all the answers

    What characteristic makes LARC methods particularly suitable for teenagers and younger adult women?

    <p>Do not require daily attention</p> Signup and view all the answers

    What is a notable finding about long acting reversible contraceptives (LARCs) according to studies?

    <p>They have been shown to reduce teen pregnancy by 40%</p> Signup and view all the answers

    What advice should be given to patients who prefer having a regular period each month?

    <p>Encourage them to consider progestin-only methods like medroxyprogesterone</p> Signup and view all the answers

    What is one of the considerations when using the quick start method for combined hormonal contraceptives?

    <p>The patient's pregnancy test should be negative and sexual history indicates low likelihood of pregnancy</p> Signup and view all the answers

    What characteristic of Depo-Provera injection should patients be counseled about?

    <p>Notorious for causing amenorrhea and irregular bleeding</p> Signup and view all the answers

    What is the recommended action for patients using the implant, Nexplanon, to address bone density changes?

    <p>Start a daily regimen of supplemental calcium and weight-bearing exercises</p> Signup and view all the answers

    What is the main difference between progestin-based and copper-based IUDs?

    <p>Progestin-based IUDs cause amenorrhea while copper-based IUDs do not</p> Signup and view all the answers

    What is the primary purpose of the copper in copper-based IUDs?

    <p>Acting as a spermicide</p> Signup and view all the answers

    What is one of the potential drawbacks of using copper-based IUDs?

    <p>Potential allergic reaction to copper</p> Signup and view all the answers

    What is one of the reasons why patients might prefer IUDs as a contraceptive method?

    <p>They provide an extended period of contraception without needing replacement</p> Signup and view all the answers

    What is the role of progestin in progestin-based IUDs?

    <p>Thinning the endometrium</p> Signup and view all the answers

    What is a potential consideration for patients using the implant, Nexplanon?

    <p>It can cause weight gain as a common side effect</p> Signup and view all the answers

    What distinguishes progestin-loaded rods such as Nexplanon from other contraceptive methods?

    <p>They offer long-term extended time periods of use</p> Signup and view all the answers

    What is the primary reason for recommending training in inserting and removing implants like Nexplanon?

    <p>To enable healthcare professionals to offer this popular method effectively</p> Signup and view all the answers

    What is an advantage of progestin-based IUDs for patients experiencing heavy menses?

    <p>They are effective at causing amenorrhea and irregular bleeding, providing relief from heavy menses</p> Signup and view all the answers

    What aspect distinguishes the implant, Nexplanon, from other progestin-only contraceptive methods?

    <p>It provides a very long-term extended period of use without requiring frequent replacements</p> Signup and view all the answers

    What is the primary function of hormonal contraceptives?

    <p>Affecting ovulation and cervical mucus thickness</p> Signup and view all the answers

    What is the role of estrogen in birth control?

    <p>Thickening the endometrium and preventing shedding</p> Signup and view all the answers

    What is a potential side effect of estrogen in hormonal contraceptives?

    <p>Breast tenderness</p> Signup and view all the answers

    What is a common side effect of progestins in hormonal contraceptives?

    <p>Irregular or missed menses</p> Signup and view all the answers

    What contraindication would prevent the use of hormonal contraceptives?

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

    What characteristic makes progestin-only pills suitable for new breastfeeding mothers?

    <p>Preventing shedding of the endometrium</p> Signup and view all the answers

    What recommendation should be given to patients with a history of breast cancer regarding hormonal contraceptives?

    <p>Consider progestin-only pill as an option</p> Signup and view all the answers

    Why should patients with coagulation problems be cautious when considering hormonal contraceptives?

    <p>To prevent an increase in coagulation and potential embolism</p> Signup and view all the answers

    What is the primary purpose of natural family planning mentioned in the text?

    <p>Affecting ovulation and cervical mucus thickness</p> Signup and view all the answers

    Why should patients with diabetes be closely monitored when using hormonal contraceptives?

    <p>To minimize increase in blood sugar</p> Signup and view all the answers

    What is a notable side effect of hormonal contraception that can worsen headaches according to the text?

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

    What is the main reason for not giving combined contraceptives to new breastfeeding mothers?

    <p>Risk of lactation cessation</p> Signup and view all the answers

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