Women's Health PAEA – Gynecology Questions and Answers 100% Verified.

What contraceptive is best for breast feeding mini pill oral progesterone A 55-year-old postmenopausal woman presents to the clinic for her annual physical exam. She has a history of estrogen receptor-positive infiltrating ductal carcinoma and is status post lumpectomy and radiation therapy. Following local treatment, she was started on anastrozole. The patient remains asymptomatic and her most recent mammogram was normal. Which of the following screening evaluations is the most appropriate recommendation for this patient? A. Bone density scan B. Breast magnetic resonance imaging C. Breast ultrasound D. Positron emission tomography scan A!!!! It is recommended that a baseline bone density scan (i.e., dual energy X-ray absorptiometry) be performed on postmenopausal women who are taking an aromatase inhibitor (anastrozole) , as they are at an increased risk for osteoporosis. MOA of combined oral contraceptives - Inhibit ovulation - Thickens cervical mucous to inhibit sperm penetration - Alters motility of uterus and fallopian tubes - Thins endometrium what contraceptive agent is best for things like sickle cell dz and epilepsy? injectables / long acting progestins mechanism of injectable contraceptive - Inhibits ovulation - Thins endometrium - Alters cervical mucus to inhibit sperm penetration --- sustained high progesterone level to block LH surge. ------ There is no FSH suppression.!!!!! MOA of progestin only pill - Thickens cervical mucus to inhibit sperm penetration - Inhibit ovulation - Alters motility of uterus and fallopian tubes - Thins the endometrium what is a pro to nexplanon can stay in for 3 years moa of nexpalnon - etonorgestrel implant - inhibit ovulation, thins endometrium, thickens cervical mucus to inhibit sperm penetration Contraindications for __________________ include: - Hepatic tumors (benign or malignant), active liver disease - Undiagnosed abnormal vaginal bleeding - Known or suspected carcinoma of the breast or personal history of breast cancer - Hypersensitivity to any of the components of etonogestrel implant - May lead to irregular vaginal bleeding Nexplanon (Etonorgestrel implant) Levonorgestrel IUD is best suited for - breast feeding - desires long term reversible contraception - stable mutually monogamous relationship - menorrhagia - dysmenorrhea Levonorgestrel IUD MOA - thickens cervical mucus to inhibit sperm penetration - thins endometrium IUDs are contraindicated in what Current STI or PID!! others: malignant gestational trophoblastic disease - untreated endometrial or cervical cancer - fibroids - DONT GIVE HORMONAL IUD TO CURRENT BREAST CANCER PTS - DONT GIVE COPPER T IUD TO WILSON DISEASE AS IT MAY CAUSE MORE BLEEDING OR DYSMENORRHEA MOA of copper T IUD - inhibits sperm migration and viability - changes transport speed of ovum - damages ovum copper T IUD is best suited for - desires long term reversible contraception (10 years) - stable mutally monogamous relationship - contraindication to hormonal steroids - smoker >35 yoa flexible ring with rubber dome that must be fitted by gynecologist. - creates barrier btwn cervix and lower portion of the vagina - can be inerted with spermicide nd left in place after intercourse for 6-8 hrs - DOES NOT PROTECT AGAINST STI diaphragm - a/w TSS and may inc risk of UTI what are the active ingredients in spermicide nonoxynol-9 (mc) // oxtoxynol-3 how does estrogen work in Combined oral contraceptives in preventing pregnancy estrogen suppresses FSH and therefore prevents follicular emergence. --- Maintains stability of endometrium how does progesterone work in combined oral contraceptives in preventing pregnancy progesterone prevents LH surge and therefore inhibits ovulation. - thickens cervical mucus to pose as a barrier for sperm - alters motility of fallopian tube and uterus - causes endometrial atrophy what contraceptive agent can increase the seizure threshold and decrease the number of seizures medroxyprogeterone acetate injection (depo provera) great for those with seizure disorders!!! !!! Why is estrogen a procoagulant? it increases factor VII and decreases antithrombin 3 etonorgestrol (progestin) containing rod is inerted in the subcutaneous tissue of the arm and should be replaced every 3 years up to 3 days after intercourse as emergency contraceptive ___________ can be used levonorgestrol (Plan B) up to 5 days after intercourse as emergency contraceptive ________ can be used