Family Planning and Contraception

Paragard (10 years)

Copper T-IUD

Miudella (3 years)

Copper T-IUD

Mirena (8 years)

Levonorgestrel IUD

Liletta ( 8 years )

Levonorgestrel IUD

Kyleena ( 5 years )

Levonorgestrel IUD

Skyla (3 years)

Levonorgestrel IUD

Nexplanon ( 3 years )

Etonogestrel implant

Depo-Provera

Depo medroxyprogesterone acetate (DMPA)

Depo-SubQ Provera 104

Depo medroxyprogesterone acetate (DMPA)

NuvaRing

EE + etonogestrel

Annovera

EE + segesterone

Xulane

EE + norelgestromin

Zafemy

EE + norelgestromin

Twirla

EE + Levonorgestrel

Ortho-Cyclen

EE + Norgestimate

Ortho-Tricyclen

EE + Norgestimate

Ortho-Tricyclen Lo

EE + Norgestimate

Loestrin

EE + norethidrone acetate

Loestrin FE

EE + Norethidrone acetate

LoLoestrin FE

EE + Norethindrone acetate

Nortrel

EE + Norethindrone

Desogen

EE + Desogestrel

Yaz

EE + Drospirenone

Yasmin

EE + Drospirenone

Nextstellis

Estetrol + drospirenone

Aviane

EE + Levonorgestrel

Lo / Seasonique

EE + Levonorgestrel

Plan B (available OTC)

Levonorgestrel

Ella

Ulipristal acetate

What blocks the LH surge (reduce likelihood of ovulation)

Progestin

What thickens cervical mucus, slow tubal motility, and deal sperm transport (reduce likelihood of fertilization)

Progestin

What has a synthetic progestin effect and has endometrial atrophy (reduce likelihood of implantation)

Progestin

What suppresses FSH (reduce likelihood of ovulation)

Estrogen

What surpesses FSH, stabilizes endometrial lining and provides cycle control (mainly provides menstruation effects)

Estrogen

What is progesterone doing in CHC?

prevent pregnancy

What is estrogen doing in CHC?

Regulating menstruation and regular monthly periods

If a patient comes in with breast cancer and asks to be put on a CHC what do you do?

- AVOID with any PMH of breast (current or resolved, any stage)

- Family history or benign breast disease is OK (category 1)

If a patient comes in that is postpartum / breastfeeding and asks to be put on a CHC what do you do?

- Risk of DVT : waiting until 3 to 6 weeks postpartum reduces the risk

- Lactation : Wait 4 to 6 weeks until breast feeding is established

Woman that have non-migraine headaches are what category?

Category 1

Woman that have migraine without aura is what category?

Category 2

What are some examples of a migraine with aura symptoms?

1. seeing sparks and flashes

2. ringing in ears and other noises

3. numbers or inability to move part of body

4. Loss of vision or visual hallucinations

5. Speech difficulties

If Dr. Dawson were to ask us to choose an Oral CHC and choose an EE dose, what is the one that you will cross out immediately?

HIGH DOSE (50 or higher)

What is a drug interaction that is very important to take a close look at when a patient is also taking a CHC?

Anticonvulsants

What is the primary indication for Paragard (Copper T-IUD)

Contraception and Emergency contraception

What is the primary indication for Miudella (Copper T-IUD)

Contraception and Emergency contraception

What is the primary indication for Mirena (Levonorgestrel IUD)

Contraception

What is the primary indication for Liletta (Levorgestrel IUD)

Contraception

What is the primary indication for Kyleena (Levorgestrel IUD)

Contraception

What is the primary indication for Skyla (Levorgestrel IUD)

Contraception

What is the primary indication for Nexplanon (Etonogestrel implant)

Contraception

What is the primary indication for Depo-Provera (DMPA)

Contraception

What is the primary indication for NuvaRing (EE+ etonogestrel)

Contraception

What is the primary indication for Annovera (EE+ Segesterone)

Contraception

What is the primary indication for Xulane (EE+ norelgestormin)

Contraception

What is the primary indication for Zafemy (EE+ norelgestromin)

Contraception

What is the primary indiction for Twirla (EE+ levonorgestrel)

Contraception

What is the primary indication for Plan B (Levonorgestrel)

Emergency contraceptive

What is the primary indication for Ella (Ulipristal acetate)

Emergency contraception

What is the pharmacologic category for Paragard (Copper T-IUD)

Non-hormal IUD

What is the pharmacologic category for Miudella (Copper T-IUD)

Non-hormal IUD

What is the pharmacologic category for Mirena (Levonorgestrel IUD)

Progestin Only IUD

What is the pharmacologic category for Liletta (Levonorgestrel IUD)

Progestin Only IUD

What is the pharmacologic category for Kyleena (Levonorgestrel IUD)

Progestin Only IUD

What is the pharmacologic category for Skyla (Levonorgestrel IUD)

Progestin Only IUD

What Is the pharmacologic category for Nexplanon (Etonogestrel implant)

Progestin only Implant

What is the route of administration for Paragard (Copper T-IUD)

Intrauterine

What is the route of administration for Miudella (Copper T-IUD)

Intrauterine

What is the route of administration for Mirena (Levonorgestrel IUD)

Intrauterine

What is the route of administration for Liletta (Levonorgestrel IUD)

Intrauterine

What is the route of administration for Kyleena (Levonorgestrel IUD)

Intrauterine

What is the route of administration for Skyla (Levonorgestrel IUD)

Intrauterine

What is the route of administration for Nexplanon (Etonogestrel implant)

Subcutaneous implant

What is the pharmacologic category for Depo-Provera (Depo medroxyprogesterone acetate)

Progestin only injection

What is the pharmacologic category for Nuvaring (EE + etonogestrel)

Combined (estrogen + progestin) hormal contraceptive ring

What is the pharmacologic category for Annovera (EE + segesterone)

Combined (estrogen + progestin) hormal contraceptive ring

What is the pharmacologic category for Xulane ( EE + norelgestromin)

Combined ( estrogen + progestin) hormal contraceptive patch

What is the pharmacologic category for Zafemy ( EE + norelgestromin)

Combined ( estrogen + progestin ) hormal contraceptive patch

What is the pharmacologic category for Twirla ( EE + levonorgestrel)

Combined ( estrogen + progestin ) hormal contraceptive patch

What is the route of administration for Depo-Provera (DMPA)

IM / SC

What is the route of administration for NuvaRing (EE + etonogestrel)

Vaginally

What is the route of administration for Annovera ( EE + segesterone)

Vaginally

What is the route of administration for Xulane ( EE + norelgestromin)

Transdermal

What is the route of administration for Zafemy ( EE + norelgestromin )

Transdermal

What is the route of administration for Twirla ( EE + levonorgestrel)

Transdermal

What is the typical dosing frequency for Depo-Provera (DMPA)

Every 3 months ( 13 weeks)

What is the typical dosing frequency for NuvaRing ( EE + etonogestrel)

21 days in, 7 days out

What is the typical dosing frequency for Annovera ( EE + segesterone)

21 days in, 7 days out

What is the typical dosing frequency for Xulane ( EE + norelgestromin )

Weekly for 21 days, 7 days patch-free

What is the typical dosing frequency for Zafemy ( EE + norelgestromin)

Weekly for 21 days, 7 days patch-free

What is the typical dosing frequency for Twirla (EE + levonorgestrel)

Weekly for 21 days, 7 days patch-free

What is the route of administration for Plan B (Levonorgestrel)

Oral

What is the route of administration for Ella (Ulipristal acetate)

Oral

What is the typical dosing for Plan B (Levonorgestrel)

Once / ASAP

What is the typical dosing for Ella (Ulipristal acetate)

Once / ASAP

What is the primary indication for Ortho-Cyclen ( EE + Norgestimate)

Contraception

What is the primary indication for Ortho-Tricyclen ( EE + Norgestimate)

Contraception

What is the primary indication for Ortho-Tricyclen Lo ( EE + Norgestimate)

Contraception

What is the primary indication for Loestrin (EE + Norethindrone acetate ( + / - ferrous fumarate )

Contraception

What is the primary indication for Loestrin FE ( EE + Norethindrone acetate ( + / - ferrous fumarate )

Contraception

What is the primary indication for LoLestrin FE (EE + Norethindrone acetate + / - ferrous fumarate)

Contraception