Term
|
Definition
| Third generation progesterones |
|
|
Term
| More likely to have early or mid phase breakthrough bleeding |
|
Definition
|
|
Term
most closely mimics natural menstrual cycle
lower incidence of migraine, nausea, and fluid retention |
|
Definition
| Estrophasic COCPs with Norethindrone |
|
|
Term
| may cause LDL cholesterol to be increased while allowing for HDL to be lowered |
|
Definition
|
|
Term
less weight gain, less acne, slight improvement in HDL cholesterol, less risk of migraines, and less dysmenorrhea
may have higher risk of VTs |
|
Definition
|
|
Term
| FDA approved to reduce acne, less nausea or vomiting |
|
Definition
|
|
Term
lessens PMS sx
may increase potassium levels
use with caution in renal, hepatic or adrenal disease |
|
Definition
|
|
Term
| FDA approved for PMDD and moderate acne in females age 14 or older |
|
Definition
| EE+Drospirenone+placebo (Yaz) |
|
|
Term
| contain a folate and are designed to prevent neural tube defects in fetuses conceived shortly after stopping this COCP |
|
Definition
| EE+Drosperinone+levomefolate (Beyaz) and (Safyral) |
|
|
Term
| is chewable – spearmint flavor |
|
Definition
| EE+Norethindrone+ferrous fumarate (FemconFE) |
|
|
Term
| Unresolved breakthrough bleeding >3 months |
|
Definition
| consider change from 2nd to 3rd generation, a triphasic pill, or a higher dose estrogen pill |
|
|
Term
| If acne is exacerbated after COCP use |
|
Definition
| consider change to EE+Drospirenone (Yaz) |
|
|
Term
| If previous conception while using COCPs or POPs |
|
Definition
shorten the withdrawal interval
Extended-Cycle-Packs or tricycle the current monophasic COCP |
|
|
Term
|
Definition
| consider change to higher generation progesterone |
|
|
Term
|
Definition
|
|
Term
| Headaches during withdrawal period |
|
Definition
| Use extended-cycle-pack or tricycle monophasic packs |
|
|
Term
| Epileptic using valproic acid, clonazepam, vigabatrin, or lamotrigine |
|
Definition
use extended-cycle-pack with high estrogen dose
AND reduce withdrawal period to 3-4 days
= increase consistent hormone levels |
|
|
