Therapeutics of hormonal contraceptives

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In a situation where the tablets that were missed were the last week of active pills

omit the hormone free interval by finishing active drug tablets and then starting a new pack

Think "dinos" are naturally in the VALley

Therapeutics of hormonal contraceptives

Write your event name

ADVANTAGES

reduced endometrial cancer rates

reduced ovarian cancer rates

decreased iron-deficiency anemia

decreased menstrual blood loss

menstrual regularity

decreased ovulation pain (mittelschmerz)

decreased menstrual cramps

Progestin SE

To create a unique and pleasant ambient, make sure you have the perfect ornaments.

You can hire a company or do it yourself.

Write here the style or the elements you want to include, for example:

ANDROGENIC

acne/oily skin weight gain hirsutism fatigue depression

PROGESTATIONAL

HA breast pain/ tenderness HTN

ESTROGENIC

bloating N/V breakthrough bleeding irritability HA HTN

Progestins

If you have an event where you will have music, think about what you need:

DOSING CONDIDERATIONS

Food & Beverages

overweight/obese

Here you can add extra things you would like to offer at your event, such as:

≥ 30/35 mcg EE recommended

consider lower doses if

Drink menu

Hot drinks

Beer

Soft drinks

Long drinks

Cocktails

Spirits

Wine

perimenopausal

age > 35 years

underweight

adolescent?

DRINK MENU

• alcoholic or non-alcoholic menu;
• what drinks you want to include;
• open bar or menu/person.

Create your drink menu in the notes section

Write the type of menu you chose.

healthy women

Food menu

EVENT MENU

VEGETARIAN/VEGAN MENU

CHILDREN MENU

≤ 0.5 mcg norethindrone or equivalent

≤ 25 mcg of EE

FOOD MENU

• how many courses you want to have;
• what food dishes you prefer.

Create your food menu in the notes section

Don't forget to create a vegetarian/vegan option and special menus for children.

Write the type of menu you chose.

If you want more options, write each of them on separate topics.

Initiating OCs

Now that you have all the activities set up, you can write down all the necessary employees.

For example:

postpartum use

consider progestin only pills (POPs)

avoid ESTROGEN for 21 days after birth

concerns

OCs may interfere w/ lactation

postpartum women are hypercoaguable

backup

backup first cycle due to user error

must be used for ≥ 7 days

..........

start date

Add how many people on this position you need.

5th day after cycle begins

1st Sunday after cycle begins

"Sunday Starter"

1st day of bleeding

ESTROGENS

Another important aspect is the location.

Think about a place that:

• is appropriate for the event;
• is accessible for your guests (if it's not, think of means of transportation);
• fits into the budget;
• has available dates for your event.

Estradiol Valerate

Add a phone number or email address.

natural estrogen

Dienogest

Mestranol

Add the address of the location.

Note: you should mention it to your guests too when you invite them.

50% less effective than EE

must be activated by the liver

Necon

Ethinyl estradiol (EE)

Add the name of the location.

Add their website here

doses range from 10-50 mcg

HIGH DOSE: ≥ 50 MCG

LOW DOSE: 20-35 MCG

ULTRA LOW DOSE: < 20 MCG

OC's CLASSIFICATION

The guests are one of the most important elements of an event.

other ingredients

B vitamins

iron

hormones only

phases

multiphasic

estrogen and progestin levels vary

triphasic

most common

monophasic

easier to manipulate packs and skip periods

easier to initiate

day supply

84 days (extended cycle)

can take continuously for up to 1 year

consider in patients w/ PMS, premenstrual dysphoric disorder, menstrual migraines, or dysmenorrhea

reduce # of periods/year by increasing # of active tablets

28 days

dosing

Depending on the type of your event, think about how you would like to invite people:

high dose

low dose

hormones

How many guests do you have?

Write the total number of people who will participate.

progestin only

combined hormonal contraceptives

Pharmacology

Let's start with the general information about the event.

effectiveness

Add the people who organize/host this event.

typical use

93% effective

perfect use

Add the name.

99% effective

Add the contact information, such as phone number or email address.

in obesity

Add the time slot, without being specific about the time table.

POPs (progestin-only pills) recommended

due to increased risk of VTE in obesity

due to decreased serum concentrations of OCs

2-4 x more pregnancies

ESTROGEN

When will this event happen?

Add the day or the period (if there are more days).

provide cycle control

stabilize endometrial lining

suppress FSH release

PROGESTIN

An important aspect to start with is your total budget.

alters endometrial lining

thickening cervical mucus

block LH surge

estrogen & progestin work primarily before fertilization to prevent contraception

What kind of event do you want to plan?