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Contraception Options
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Contraception Options
Contraception Options
Study
1
Question
Ella (ulipristal): time frame for use and efficacy?
Answer
Use within 120 hours, efficacy does not decrease with time. Efficacy unclear with BMI >35.
2
Question
Plan B (levonorgestrel): time frame for use and efficacy?
Answer
Ideally within 72 hours (up to 5 days), decreasing efficacy with time, efficacy unclear with BMI >26.
3
Question
Paragard: time frame for use and efficacy as emergency contraception?
Answer
Use within 5 days, most effective emergency contraceptive - 99.9%.
4
Question
What does the American Academy of Pediatrics (AAP) recommend regarding emergency contraception for adolescents?
Answer
To provide a prescription or supply of emergency contraception in advance.
5
Question
What is female sterilization?
Answer
Ligation of the fallopian tubes, preventing sperm and eggs from uniting.
6
Question
Where can female sterilization be performed?
Answer
In a hospital or outpatient surgical center.
7
Question
How long does it take to recover from female sterilization?
Answer
Most people can return home the same day of surgery and resume normal activities within a few days.
8
Question
How effective is female sterilization?
Answer
Effective immediately. Typical use failure rate: 0.5%.
9
Question
What is a vasectomy?
Answer
A procedure that prevents sperm from reaching the penis, so ejaculation never contains sperm that can fertilize an egg.
10
Question
Where is a vasectomy usually performed?
Answer
Usually performed in an outpatient surgical center.
11
Question
How long does recovery from a vasectomy take?
Answer
Recovery time is less than a week.
12
Question
What follow-up is required after a vasectomy?
Answer
Semen analysis to ensure sperm count has dropped to zero, which takes around 12 weeks. Another form of birth control should be used until sperm count is zero.
13
Question
What is the typical use failure rate of a vasectomy?
Answer
0.15%.
14
Question
Effectiveness of Tubal Ligation
Answer
>99%
15
Question
Benefits of Tubal Ligation
Answer
No hormones, effective
16
Question
Things to consider regarding Tubal Ligation
Answer
Permanence, surgical and anesthetic risks, invasiveness, challenges related to the timing, recovery, cost
17
Question
Effectiveness of Vasectomy
Answer
>99%
18
Question
Benefits of Vasectomy
Answer
Method without scalpel, outpatient, local anesthetic, much more economical than tubal ligation, quick recovery, control by the partner, no risk of pregnancy
19
Question
Things to consider regarding Vasectomy
Answer
Permanence, procedural risks, provisional contraception for 3+ months and 20 postoperative ejaculations (semen analysis), cost
20
Question
What is "OCLUSIÓN TUBARIA BILATERAL"?
Answer
Bilateral Tubal Occlusion. Also defined as Surgical, Mechanical or Electrical Obstruction, Definitive Surgical Contraceptive, Voluntary, Simple, Very effective, and for Women who do not want more children.
21
Question
What are the indications for Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
Paridad satisfecha (Satisfied parity), Riesgo Reproductivo alto (High reproductive risk), Retardo mental, previa autorización del tutor (Mental retardation, with prior authorization from the guardian).
22
Question
What is the mechanism of action for Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
Impide el paso de los espermatozoides a las trompas de Falopio evitando la fecundación del óvulo (It prevents the passage of sperm to the fallopian tubes, preventing egg fertilization)
23
Question
What is the effectiveness of Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
99%
24
Question
What are the side effects of Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
Derivados del procedimiento quirúrgico o anestésico (Derived from the surgical or anesthetic procedure), No se conocen asociados directamente con el método (No known side effects directly associated with the method).
25
Question
What are the contraindications for Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
Enfermedad pélvica inflamatoria aguda o crónica (Acute or chronic inflammatory pelvic disease).
26
Question
What precautions should be taken for Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
Discrasias sanguíneas (Blood dyscrasias), No estar segura (Not being sure), Decisión tomada bajo tensión (Decision made under tension).
27
Question
What follow-up is required after Oclusión Tubaria Bilateral (Salpingoclasia)?
Answer
Primera Cita: revisión a los siete días de efectuado el procedimiento o cuando se requiera (First appointment: review seven days after the procedure or when required)
28
Question
What effects are there on sexuality in women with OTB?
Answer
No provoca efectos negativos sobre: la sexualidad, función sexual, deseo sexual y feminidad. ¡¡Incluso algunas mencionan que su vida sexual es más placentera!!
29
Question
What are the causes of regret in women with OTB?
Answer
MUJER JOVEN (Young Woman), TENER UN HIJO (Having a Child), NO TENER UN HIJO DE CADA SEXO (Not Having a Child of Each Sex), PROBLEMAS EN SU MATRIMONIO (Problems in Her Marriage), NO COMPARTIR DECISIÓN CON SU PAREJA (Not Sharing the Decision With Her Partner), MUERTE DE LOS HIJOS (Death of the Children), SEGUNDAS NUPCIAS (Second Marriage), ESTAR SOLTERA (Being Single)
30
Question
What is the beneficial effect of OTB?
Answer
RIESGO DE CA DE OVARIO 30% MENOR (30% LOWER RISK OF OVARIAN CANCER)