Reversible Bone Density Changes from Contraceptive Methods

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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?

Implants and intrauterine devices (IUD) (D) Signup and view all the answers

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

Patients are no longer required to be in monogamous relationships if they also use protection like condoms (C) Signup and view all the answers

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

A history of STD no longer affects a patient's eligibility for an IUD (C) Signup and view all the answers

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

When the patient tests positive for PID (C) Signup and view all the answers

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

To assess the position of the uterus and cervix (B) Signup and view all the answers

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

They should be taken at the same time daily. (B) Signup and view all the answers

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

Uterine sound (D) Signup and view all the answers

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

Breakthrough bleeding (B) Signup and view all the answers

What technique is used for removing an IUD?

Use of forceps to twist and pull out the IUD (A) Signup and view all the answers

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

Ensuring they take the pill at the same time daily. (C) Signup and view all the answers

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

Four days (C) Signup and view all the answers

How often should the patch be worn for contraceptive purposes?

Weekly for three weeks (A) Signup and view all the answers

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

Cycling for four weeks of patches (C) Signup and view all the answers

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

Three weeks (B) Signup and view all the answers

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

No impact on pregnancy protection (B) Signup and view all the answers

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

Fully disclose all potential side effects to ensure informed decision-making. (C) Signup and view all the answers

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

Patients can choose not to inform their partners initially about its presence. (D) Signup and view all the answers

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

Enabling period-free months if needed. (B) Signup and view all the answers

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

Teenage girls needing discreet birth control. (C) Signup and view all the answers

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

Diaphragm (D) Signup and view all the answers

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

Diaphragm (D) Signup and view all the answers

How reliable is the withdrawal method?

22% (D) Signup and view all the answers

Which method requires a pelvic exam for insertion?

IUD (B) Signup and view all the answers

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

MEC App (B) Signup and view all the answers

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

Fertility awareness methods (A) Signup and view all the answers

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

Negative effect (C) Signup and view all the answers

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

'Withdrawal method is as effective as other methods.' (D) Signup and view all the answers

What type of discharge is checked in fertility awareness methods?

'White' discharge (C) 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?

'Other methods do not require a pelvic exam.' (D) Signup and view all the answers

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

Deciding the safest contraception method based on individual needs and medical conditions (D) Signup and view all the answers

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

Blood pressure only (C) Signup and view all the answers

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

Growth of the adenoma under the influence of estrogen (C) Signup and view all the answers

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

Smoking (A) Signup and view all the answers

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

Clotting problem warning signs (C) Signup and view all the answers

What does COC stand for in the context of contraceptives?

Combined oral contraceptive (D) Signup and view all the answers

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

Combined hormonal contraceptives (CHCs) (C) Signup and view all the answers

What is the characteristic of monophasic birth control pills?

They always provide the same dose of estrogen and progestin every day of the month (B) Signup and view all the answers

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

Breakthrough bleeding (D) Signup and view all the answers

What does POP stand for in the context of contraceptives?

Progestin only pill (C) Signup and view all the answers

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

To prevent breakthrough bleeding (A) Signup and view all the answers

What do triphasic birth control pills refer to?

Pills with different doses for each week of the pill pack (C) Signup and view all the answers

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

Patients who are smokers over 35 years old (B) Signup and view all the answers

What are CHCs commonly referred to as besides pills?

Patches or the ring (B) Signup and view all the answers

What method is used to start combined hormonal contraceptives quickly?

Quick start (D) Signup and view all the answers

Which contraceptive method is notorious for causing amenorrhea?

Depo-Provera injection (C) Signup and view all the answers

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

Long Acting Reversible Contraceptive (D) Signup and view all the answers

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

Patient should start next Sunday if pregnancy test is negative and not likely to be pregnant (D) Signup and view all the answers

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

It leads to irregular bleeding and spotting (B) Signup and view all the answers

What is the traditional approach for starting combined hormonal contraceptives?

First day start (B) Signup and view all the answers

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

Provides period-free weekends (A) Signup and view all the answers

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

Do not require daily attention (B) Signup and view all the answers

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

They have been shown to reduce teen pregnancy by 40% (A) Signup and view all the answers

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

Encourage them to consider progestin-only methods like medroxyprogesterone (B) Signup and view all the answers

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

The patient's pregnancy test should be negative and sexual history indicates low likelihood of pregnancy (C) Signup and view all the answers

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

Notorious for causing amenorrhea and irregular bleeding (B) Signup and view all the answers

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

Start a daily regimen of supplemental calcium and weight-bearing exercises (C) Signup and view all the answers

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

Progestin-based IUDs cause amenorrhea while copper-based IUDs do not (A) Signup and view all the answers

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

Acting as a spermicide (B) Signup and view all the answers

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

Potential allergic reaction to copper (C) Signup and view all the answers

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

They provide an extended period of contraception without needing replacement (A) Signup and view all the answers

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

Thinning the endometrium (B) Signup and view all the answers

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

It can cause weight gain as a common side effect (C) Signup and view all the answers

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

They offer long-term extended time periods of use (C) Signup and view all the answers

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

To enable healthcare professionals to offer this popular method effectively (A) Signup and view all the answers

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

They are effective at causing amenorrhea and irregular bleeding, providing relief from heavy menses (D) Signup and view all the answers

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

It provides a very long-term extended period of use without requiring frequent replacements (D) Signup and view all the answers

What is the primary function of hormonal contraceptives?

Affecting ovulation and cervical mucus thickness (A) Signup and view all the answers

What is the role of estrogen in birth control?

Thickening the endometrium and preventing shedding (D) Signup and view all the answers

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

Breast tenderness (B) Signup and view all the answers

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

Irregular or missed menses (A) Signup and view all the answers

What contraindication would prevent the use of hormonal contraceptives?

Thrombophlebitis (D) Signup and view all the answers

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

Preventing shedding of the endometrium (A) Signup and view all the answers

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

Consider progestin-only pill as an option (A) Signup and view all the answers

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

To prevent an increase in coagulation and potential embolism (D) Signup and view all the answers

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

Affecting ovulation and cervical mucus thickness (D) Signup and view all the answers

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

To minimize increase in blood sugar (D) Signup and view all the answers

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

Melasma (D) Signup and view all the answers

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

Risk of lactation cessation (B) Signup and view all the answers