-
Estrogens in CHCs (3)
- ethinyl estradiol
- mestranol
- estradiol valerate
-
Progestins in CHCs (10)
- desogestrel
- drospinrenone
- ethynodiol diacetate
- norgestimate
- norethidrone
- norethindrone acetate
- norgestrel
- levonorgestrel (acive isomer of nogestrel)
- dienogest
- Progesterone antagonists --> ulipristal acetate
-
AE of excess estrogen
N, breast tenderness, HA, cyclic weight gain, dysmenorrrhea, menorrhagia, uterine growth
-
AE deficiency estrogen
vasomotor sx, nervousness, decreased libido, early cycle, breakthru bleeding and spotting, amenorrhea
-
AE excess progestin
increased appetite, noncyclic weight gain, bloating, constipation, depression, fatigue, and irritability
-
AE excess progestin (angrogen specific)
acne, oily skin, hirsutism, hair loss, edema, libido increase
-
AE deficiency progestin
dysmenorrhea, menorrhagia, late cycle, breakthru bleeding and spotting
-
Aches
- abdominal pain, hepatic mass or tenderness, jaundice
- SE...
- liver/gallbladder disease, pancreatitis, thrombosis of abdominal artery or vein
-
aChes
- Chest pain (sob, coughing, hemoptysis)
- SE...
- Pulmonary embolism, MI
-
acHes
- HA (dizzyness)
- SE...
- HTN, stroke, vascular spasm
-
achEs
- Eye problems
- SE...
- stroke, HTN, cascular disorder, retinal artery trombisis
-
acheS
- severe leg pain, sweling, warmth
- SE...
- DVT
-
ortho evra
- transdermal
- estrogen--ethinyl estradiol
- progestin--norelgestromin
-
nuvaring
- vaginal ring
- estrogen--ethinyl estradiol
- progestin--etonogestrel
-
camila, errin, heather, jolivette, otrho micronor, nor, nora
- PO
- estrogen--NONE
- progestin--norethindrone
-
DMPA
- IM/SC
- estrogen--NONE
- progestin--medroxyprogesterone acetate
-
Implanon
- subdermal
- estrogen--NONE
- progestin--etonogestrel
-
paragard
- IUD
- estrogen--NONE
- progestin--NONE
-
mirena
- IUS
- estrogen--NONE
- progestin--levonorgestrel
-
Pains
period is late, severe bleeding
-
pAins
abdominal pain, severe cramping, or abdominal pain with sex
-
paIns
Infection (STI), sxs of vaginal infection
-
paiNs
not feeling well, fever, chills
-
painS
strings from IUD are mossing or shorter than usual
-
WHO cat 4
refrain from providing CHCs for women with the following...
-
WHO cat 3
risk generally outweigh the benefits; caution advised and cerefully monitor
-
WHO cat 2
benefits usually outweigh risks
-
WHO cat 1
do not restrict use of PO contraceptives
-
Plan B/ next choice
2 tabs of 0.75mg of levonorgestrel
-
Pland B one step
one tab of 1.5mg levonorgestrel
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