S/S Report PAins 1. P- period late 2. A- abdominal pain 3. I- infections
4. N- not feeling well 5. S- string missing 6. Risk of miscarriage if you do become pregnant: Hard to get IUD out without affecting the baby d. Hormonal Contraceptives i. Combination Estrogen- Progestin Aprroaches 1. For most people oral birth control can be tolerated by people. 2. MOC: intended to inhibit ovulation, thickens cervical mucus, outers the lining of the uterus to thin the lining. 3. Only one way you know you aren’t pregnant is abstinence ii. Transdermal Hormonal Therapy 1. Patch/ Ortho-Evra a. Patch you keep on for three weeks, and leave it off for one week, and then repeat 2. Vaginal Contraceptive Ring a. NuvaRing: put the ring in the vagina 5. Oral Contraceptives a. Hormones: Must be taken around the same time everyday for 21 days i. Combination of estrogen and progesterone b. Mini-pill= progesterone only- used for regulation, bad cramps, acne, heavy periods i. If become pregnant- stop- b/c foliantagonist: causes neural tube defects and spinal bifida c. Rapidly reversible, most popular, highly effective, safe i. S/E: based on concentration of hormones released: ii. N/V, HA, weight gain iii. ACHES: 1. A- abdominal pain 2. C- chest pain 3. H- HA 4. E- eye problems 5. S- severe leg pain- blood clots in smokers iv. Contraindications: smokers b/c vascular problems d. Transdermal Hormonal Contraceptives (The Patch) i. 3 weeks on, 1 week off ii. Hormonally based iii. S/E- irritation at placement area iv. Similar to oral contraceptives but less pronounced v. Place on spot with decreased hair and rotate spots e. Vaginal Contraceptives i. Left in 21 days, inserted monthly ii. Hormonally based method iii. Placed around cervical area
iv. Nuva-Ring f. Long Acting Progesterone Contraceptives i. Subdural implants: Norplant, Implanon 1. 6 Silastic capsules left in place for up to 5 years- surgical procedures 2. Now off the market- 3. S/E- like other oral contraceptives ii. Injectable Progestin 1. Depro-provera a. Inject 1 time every 12 weeks- in deltoid 50 mg IM b. Only for 2 years- b/c loss of bone mass (Ca + loss from bone could be irreverable) c. Encouraged to exercise and take calcium supplements d. Progestin only- b/c estrogen would inhibit milk production e. S/E- bleeding up to everyday f. N/V g. Usually a period of time after stopping depro before you can become pregnant g. Emergency Post-Coital Contraceptives i. Plan B (morning after pill, OTC) 1. Changes cervical mucus, 2. Things lining of mucus- for no implantation 3. Can be given only to 17 yr n older 4. REALLY strong 5. S/E: N/V, Abdominal pain h. Mifepristone (Mifeprex and RU 486) i. Thins lining of uterus ii. Causes uterine cramping to expel embryo iii. Used within 49 days of least menstrual period iv. Prescription only 1. Blocks progesterone. i. Tubal Ligation: i. Burn/cut/ tie/clamp/spring fallopian tubes ii. Some may be reversible, but not guarantee because of scar tissue build up iii. May require counseling first if in prime-child bearing years and no previous children j. Abortion 6. Male Contraceptives: Condom a. Operative: i. Vasectomy- clips vas deferens
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- Fall '12
- Nursing, i., progesterone, cervical mucus, Uterus