Women’s Health Medications Exam Latest Updated 2025 With
Complete Solutions
what causes an increased risk for thrombosis
1. postpartum
2. pregnancy
3. contraception
what ages increase the risk of mi and stroke
35 and older
cardioavascular risks
Increase risk for CVA/MI
Increase BP (3-6mm Systolic, 2-3mm Diastolic)
smoking increases the risk of
MI and thrombosis
why is estrogen controversial for migraines
increased risk of stroke
can it be used in a migraine w aura
no
obesity risks
Potential for higher failure rate
Risk of Thrombosis
how does estrogen affect cholesterol
• Estrogen: Decreases LDL and increases HDL and TG • Progestin: Increases LDL and
Decreases HDL and TG
progestin in diabetes
may impair glucose tolerance
is estrogen safe in breast cancer
no
coc forms
oral, patch, vaginal ring
Combined Oral Contraceptives MOA
Suppresses FSH/LH, progesterone suppresses LH stopping ovulation and thickens
cervical mucus, estrogen suppresses FSH to prevent emergence of a follicle.
____ provides the same amount of hormones every day for 21 days, days 22-28
are a placebo.
Monophasic COCs
Biphasic Oral Contraceptives have
Same amount of estrogen each day, but progestin dose in increased halfway through
cycle
Triphasic Oral Contraceptives
3 different doses of progestin and estrogen that change each week
quadraphasic
, 4 different doses of progestin and estrogen throughout the month
Additional Ingredients include
folic acid, iron
additional things coc can be used for
pmdd, acne, heavy menstrual bleeding
who are coc recommened for patients with
Anemia
Dysmenorrhea
Endometriosis
Menstrual migraines
Patients who desire decreased menses
extended cycle pills for
24, 26, 84, and continuous cycle days
what are higher doses of estrogen used for (50 mcg)
Contraceptive failure on lower doses
Early BTB on lower doses
Regular heavy menses (higher endometrial activity)
>90 kg
what are moderate doses used for (35-50)
-Used commonly
- Breakthrough bleeding due to low estrogen
- Estrogen sensitive women (h/o migraine, pregnancyinduced HTN, N/V, breast
tenderness)
what are lower does used for (20-25, 10)
-Used commonly
- Best for minimizing exposure to estrogen or for women who experience side effects
related to estrogen
- Adolescents, women <110 lbs, perimenopausal, >35 yo, smokers
1st gen progestins have more effect on
estrogen and androgens
2nd and 3rd gen progestins have more effect on
progestin and androgen
4th gen progestins only affect
progestin
when do you initiate pill on first day start
first day of menses
is backup needed for first day start
nope
sunday start initiation is
First pill Sunday after menses start
is backup needed for sunday start
yes, 7 days
quick start initiation
first pill the day of office visit
is backup needed for quick start
yes, 7 or more days
Complete Solutions
what causes an increased risk for thrombosis
1. postpartum
2. pregnancy
3. contraception
what ages increase the risk of mi and stroke
35 and older
cardioavascular risks
Increase risk for CVA/MI
Increase BP (3-6mm Systolic, 2-3mm Diastolic)
smoking increases the risk of
MI and thrombosis
why is estrogen controversial for migraines
increased risk of stroke
can it be used in a migraine w aura
no
obesity risks
Potential for higher failure rate
Risk of Thrombosis
how does estrogen affect cholesterol
• Estrogen: Decreases LDL and increases HDL and TG • Progestin: Increases LDL and
Decreases HDL and TG
progestin in diabetes
may impair glucose tolerance
is estrogen safe in breast cancer
no
coc forms
oral, patch, vaginal ring
Combined Oral Contraceptives MOA
Suppresses FSH/LH, progesterone suppresses LH stopping ovulation and thickens
cervical mucus, estrogen suppresses FSH to prevent emergence of a follicle.
____ provides the same amount of hormones every day for 21 days, days 22-28
are a placebo.
Monophasic COCs
Biphasic Oral Contraceptives have
Same amount of estrogen each day, but progestin dose in increased halfway through
cycle
Triphasic Oral Contraceptives
3 different doses of progestin and estrogen that change each week
quadraphasic
, 4 different doses of progestin and estrogen throughout the month
Additional Ingredients include
folic acid, iron
additional things coc can be used for
pmdd, acne, heavy menstrual bleeding
who are coc recommened for patients with
Anemia
Dysmenorrhea
Endometriosis
Menstrual migraines
Patients who desire decreased menses
extended cycle pills for
24, 26, 84, and continuous cycle days
what are higher doses of estrogen used for (50 mcg)
Contraceptive failure on lower doses
Early BTB on lower doses
Regular heavy menses (higher endometrial activity)
>90 kg
what are moderate doses used for (35-50)
-Used commonly
- Breakthrough bleeding due to low estrogen
- Estrogen sensitive women (h/o migraine, pregnancyinduced HTN, N/V, breast
tenderness)
what are lower does used for (20-25, 10)
-Used commonly
- Best for minimizing exposure to estrogen or for women who experience side effects
related to estrogen
- Adolescents, women <110 lbs, perimenopausal, >35 yo, smokers
1st gen progestins have more effect on
estrogen and androgens
2nd and 3rd gen progestins have more effect on
progestin and androgen
4th gen progestins only affect
progestin
when do you initiate pill on first day start
first day of menses
is backup needed for first day start
nope
sunday start initiation is
First pill Sunday after menses start
is backup needed for sunday start
yes, 7 days
quick start initiation
first pill the day of office visit
is backup needed for quick start
yes, 7 or more days
