Hormonal methods of birth control/Copper IUD/Cervical caps/IVF-ET/IUI

• What are hormonal methods of birth control

• use either synthetic estrogen and progestin or progestin alone to prevent pregnancy

• How do oral contraceptives work/

• Suppress the action of the hypothalamus and anterior pituitary

• This leads to insufficient secretion of FSH and LH

• Thickens cervical mucus

• Prevents implantation

What are the nursing considerations about oral contraceptives?

• Take at same time every day

• Since it decreases menstrual blood loss less risk of developing iron deficiency

• Regulates irregular cycle

• Reduced symptoms of pms

• hat are the contractions of oral contraceptives?

• history of thromboembolic disorders

• coronary artery disease

• hypertension

• gallbladder disease

• liver tumor

• pregnancy

• Breast feeding 

• less than 6 weeks postpartum

• smoking if older than 35 years

• headaches with neurological symptoms

• surgery with prolonged immobilization

• breast cancer

• What are the warning signs of oral contraceptives (ACHES)?

• Abdominal pain

• Chest pain

• Headaches

• Eye problems

• Severe leg pain

• What is a transdermal contraceptive system?

• Delivers continuous levels of estrogen and progesterone

• Applied to intact skin

• Replace every week for 3 weeks with one week off

• Avoids liver metabolism

• Also known as the patch

• What is a vaginal contraceptive ring?

• t is flexible ring  worn in vagina that delivers continuous levels of progestin and estradiol

• No fitting

• 3 weeks on and 1 week off

• What are injectable progestins?

• Start during first 5 days of period then every 11 top 13 weeks

• DO NOT MESSAGE INJECTION

• Decreased bone mineral density

• Return of fertility may be 18 months

• What are implantable progestins?

• Long acting reversible contraception

• Flexible tubes or rods that are inserted under skin of womens arm

• How does implantable progestins work?

• suppresses ovulatory cycle and thickens cervical mucus

• work for up to 3 years

• What is copper IUD?

• Works up to 12 years

• Prescription needed

• T shape

• Can be used in emergency

• Causes cramping and spotting

• Does not use hormones

• What are cervical caps?

• Known as FemCap

• Small dome shaped contraception made of silicone that fits over the cervix to prevent sperm from entering

• TSS risk

• When to wear cervical cap/

• At least 6 hours before

• 6 hours after

• No more than 48 hours

• What is IVF-ET?

• In vitro fertilization and embryo transfer

• Ist fertility treatment where eggs are collected from the ovaries fertilized with sperm in  alb and then the resulting embryos are transferred into woman's uterus to establish a pregnancy

• What is an IUI?

Fertility treatment where sperm is placed directly into uterus using a catheter bypassing the cervix