Term
| What is the MOA for tubal ligation? |
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Definition
| cutting or mechanically blocking fallopian tubes |
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Term
| What is the MOA for Essure/Adiana? |
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Definition
| mechanically blocking fallopian tubes @ the horn of the uterus with permanent inserts (Essure: microcoil; Adiana: silicone matrix) |
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Term
| What are the risks of tubal ligation? |
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Definition
| increased risk of ectopic pregnancy with method failure, lack of STI protection, regret about permanent decision |
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Term
| What are the risks of Essure/Adiana? |
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Definition
| Overall lack of data, lack of STI protection, perforation of the uterus, expulsion of device, unsuccessful placemen |
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Term
| What are the benefits of tubal ligation? |
|
Definition
| permanence, highly effective, safety (1-4/100,000 mortality), lack of significant long-term SEs, cost effective, decreased risk of ovarian cancer |
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Term
| What are the benefits of Essure/Adiana? |
|
Definition
| Permanence, highly effective, cost effective, high placement rates, possible decreased ectopic pregnancy risk |
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Term
| Contraindications to tubal ligation? |
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Definition
| No absolute contraindications |
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Term
| How old do you need to be to have a tubal ligation? |
|
Definition
| No specific age limit. Medicaid in OH limits to 21+. Caution is advised in providing to women <24 years old, nullips |
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Term
| Contraindications to Essure? |
|
Definition
| Pregnancy, <6w PP, anatomical anomalies, allergies to insert device (nickel, titanium), recent pelvic infection, previous tubal, discouraged if use immunosuppressives |
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Term
| Contraindications to Adiana? |
|
Definition
| Pregnancy, <3months PP, anatomic anomalies, recent pelvic infection, previous tubal, immunosuppressive use |
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Term
|
Definition
| surgical blockage of vas deferens to prevent sperm ejaculation |
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|
Term
|
Definition
| inherent surgical risks, possible chronic testicular pain (2-3%), no STI protection |
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|
Term
|
Definition
| Reversible (though treat as permanent), highly effective, permanent, safety, no increase in prostate CA |
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Term
| Contraindications to vasectomy? |
|
Definition
| No absolute. Previous scrotal injury, varicocele, hydrocele, cryptorchidism, diabetes, AIDS, coag disorders warrent caution. |
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Term
| What is the most cost-effective of all birth control methods? |
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Definition
|
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Term
| What is the failure rate for a vasectomy? |
|
Definition
|
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Term
| When are vasectomy, Essure, and Adiana effective? |
|
Definition
| 3 months after procedure/insertion |
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|
Term
| What is the failure rate of tubal ligation? |
|
Definition
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