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NURO 733 Module 1 Complex Contraception Management & Hormone Overview Study Set Exam
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NURO 733 Module 1 ComplexContraception Management & Hormone
Overview Study Set Exam
What are the main reproductive hormones? - Answer Estrogen, Progesterone, FSH, LH,
and GnRH
How do you use the US MEC? - Answer The US Medical Eligibility Criteria For
Contraceptive Use provides an evidence based guide to the contraindications for COC
use, Helps determine what method of contraception is safe for women.
What do the ratings on the US MEC mean? - Answer ○ 1 - No restriction method is safe
○ 2 - advantages generally outweigh theoretical or proven risks
○ 3- Risks usually outweigh benefit
○ 4 - Unacceptable health risk
What do you do if a condition is NOT listed in the US MEC? - Answer Utilize your
resources, try to find the most similar condition from the MEC that corrolates
COC advantages - Answer -sexual spontaneity.
-Quick return to fertility.
-Helps with acne
-Hirsutism reduction
-Decreased blood loss and decreased anemia
-Suppression if desired.
-May decrease menstrual cramps/pain
-More predictable menses
-Lessens heavy menstrual bleeding
-Eliminates ovulation pain
-Can control timing/frequency of menses
-Reduces risks of internal hemorrhage from ovulation
, -Regulates menses and provides progestin for women with anovulation/PCOS
-Reduced risk of PID
-Lower risk of ovarian cancer
-Decreased risk of endometrial cancer d/t decreased activity of cells and no ovulation,
the ovaries are quite leading to a lowered risk of hyperplasia. (by 50%)
-Decreased risk of developing or dying from colorectal cancer
-Decreased risk of corpus luteum cysts and hemorrhagic corpus luteum cysts
-Reduced risk of benign breast masses
-Advantages over POP:
Regular withdrawal bleeding
More dependable ovulation suppression
Improvement in acne
More widely available
Possible increase in bone mineral density
Decreased pain and frequency of sickle cell disease crisis
COC disadvantages - Answer - Daily pill taking (spot on app)
- No protection against STI's
- More contraindications
- Decreased effectiveness or interactions with few meds. Listed under CDC criteria.
Typically no longer have concerns with broad spec antibiotics and no longer
recommend backup method, except with TB meds.
-more contraindications
COC contraindications - Answer Family hx of thrombosis
Risk of VTE
HA with aura
Women with known clotting disorders such as factor V Leiden
Smokers
Hypertension
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