Front | Back |
Phases of menstrual cycle
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Proliferative: estrogen dominant
One follicle is chosen as dominant follicle
Secretory: progesterone dominant
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What day does the follicle develop and ovulate?
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Day 5
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Fertilization occurs where?
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Ampulla of ovarian tube
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Loss of implantation rate is
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30%
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Loss of oocyte before implantation is
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46%
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What is the chance of getting pregnant each ovulatory cycle?
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25%
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Primary effect of BC on fertility is...
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Doesn't allow you to ovulate
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1. Mortality rate of taking BC
2. Pregnancy rate
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1. 8/100,000
2. 9/ 100,000
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1. Odds ratio of ischemic strokes while taking BC
2. HTN
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1. 3x
2. 10x
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Failure rate of BC
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3%
i.e. 3 of 100 women will become pregnant in one year's study ("Pearl Index")
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The contraceptive part of the pill
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Progestin
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When should you begin BC?
Why? |
First day of period
Gives you protection from day 1
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Contraindications of BC
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Strokes
History of pulmonary emboli
History of DVT
Age 35 and smoker
Leiden V mutation
HTN due to OCP
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What is Leiden V mutation?
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Mutation that makes you thrombophilic
Take a family hx for DVT
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Total risk of Leiden V mutation?
Who is at highest risk?
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5% in general population
European descent--esp Minnesota
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