Term
Conjugated Equine Estrogen |
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Depo-Contraception an HRT: (IM INJECTION)--> Bone loss, weight gain, loss fertility ~ 1 yr |
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Menopausal HRT
binds weak affinity androgen, estrogen, glucocorticoid receptors
sloughing uterus due to decline p |
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Contraceptiong: highest potency estrogen.
increases HDL,Decreases LDL, stimulates stem cell prolif VASODILATION
Enterohepatic circulation AVOID CONTRACEPTIVES |
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Synthetic 1st gen progestin contraception weakest progesterone.
USED AS POP, every day same time, LACTATING WOMEN = #1 use |
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synthetic 2nd gen progestin contraception MOST POTENT
IUD ALSO (spotting common)reduces lining and increases mucus
HIGH DOSE = ABORTION |
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synthetic 3rd gen progestin contraception |
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synthetic 3rd progestin contraception |
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synthetic progestin contraception 4gen (anti-mineralcorticoid/antiandrogen):
reduces NA/H20 retention = less bloating HYPERKALEMIA!!!
contraindicated kidney disease INCREASED DVT RISK |
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Term
How do they stop ovulation |
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Definition
negitive feedback LH/FSH surge "recreate leuteal phase"
e = ug p = mg |
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Term
two basic types contraception |
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Definition
1. E+P: Ethynial Estradiol + Lev>Deso>NGM>NE mono = less bleed vs. tri = less exposure
2. progesterone only higher failure rate and risk bleeding |
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Term
when to begin contraception |
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Definition
1st day menstration 1st sunday after menses - back up 1st w quick start - back up 1st week |
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Term
missed doses contraception |
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Definition
1 pill = 2 next 2 pill (week 1/2) = 2 then 2 backup 1 2 pill (week 3) = new pack a.skip placebos b. keep taking until sunday backup 1-week |
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Definition
1. decrease ovarian, endometrial cancer fibrocystic and fibroadenomas greater cycle regularity
2. CLOTTING (SMOKER)-- lower risk = lowest e possible increase BREAST CANCER (4 yrs before 1st preg)
(HYPERTENSION, GALLBLADDER DISEASE, CERVICAL DYSPLASIA)
progestone -> LEVO = worst impairs glucose tolerance and causes thrombosis |
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indications progesterone only |
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Definition
EARLY POSTPARTUM migraines, smoker thromboembosism/heart disease |
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long-term exposure E increased return to fertility takes 3 mo |
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