Acne favorable effect on menstrual cycles reduced

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Unformatted text preview: ysts, pelvic inflammatory disease, benign breast disease, iron deficiency, anemia, and acne. acne. Favorable effect on menstrual cycles – Reduced cramps; lighter, shorter, and more Reduced predictable flow predictable Progestin Only Oral Contraceptives Progestin Known as “minipills” Contain progestin but no estrogen Do not cause DVT, H/A, nausea Less effective May cause break through bleeding Alter cervical mucus---thick which is a barrier to sperm migration and suppressing endometrial growth. Generally safer than combination OC---but less effective and cause more menstrual irregularities. Combination Contraceptives with Novel Delivery Systems with Transdermal contraceptive patch---usually Transdermal applied 1x/week (yaz) applied Vaginal contraceptive ring (NuvaRing) Long-Acting Contraceptives Long-Acting Subdermal etonorgestrel implants Subdermal (Implanon)- don’t take BP on same arm (Implanon)take Depot medroxyprogesterone acetate (MPA)---IM, Subq (Lunelle) (MPA)---IM, Intrauterine devices Spermicides Barrier devices---nonpharmacological Barrier option option Nursing Implications Nursing Identify high risk patients- smokers Identify monitor blood pressure- high levels of estrogen can increase BP check weight- 10 lb weight gain isnt normal instruct patient to report leg or chest pain instruct assess for depression- mood swings are normal assess monitor blood count monitor review side effects with patient with 1st dose takes 1 week for effect- use other forms of with protection during first week counsel about stop smoking and decrease fat intake counsel report vaginal bleeding instruct about missed doses- take as soon as remember teach self-breast examination (monthly) drugs may interfere with effectiveness- antibiotics drugs Drug Therapy of Infertility Infertility Pathophysiology---Infertility Pathophysiology---Infertility Defined--- as the inability to conceive after 1 year of --unprotected intercourse or an inability to carry a fetus to term---decrease in reproductive ability. term---decrease Sterility---is complete absence of reproductive ability. Disorders—female---failure to ovulate, decreased amount ---failure of GnRH, pituitary disorders, hypothyroidism, primary ovary defects, luteal pha...
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