USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

weeks then removed for 1 week to allow for a withdrawal bleed. Levels of steroids are 60% higher than c ...

PROGESTIN-ONLY MODALITIES Progestin-only OCPs contain only progestins and are sometimes called the “minipill.” They ...

Risks and Benefits. In nonsmoking women age >40, currently available OCPs are extremely safe. Low-dose ...

INTRAUTERINE CONTRACEPTION A 30-year-old woman with Crohn's disease who periodically requires steroid therapy seeks ...

or any instance of immune suppression increasing the risk of infection), nulligravidity, abnormal Pap smears, and ...

NOTE The popularity of the IUS has varied greatly during the past 2 decades. Despite its excellence as a method o ...

LONG-ACTING REVERSIBLE CONTRACEPTION Long-acting reversible contraceptives (LARCs) provide effective contraception for an ...

NATURAL FAMILY PLANNING— PERIODIC ABSTINENCE This method is based on avoiding sexual intercourse around the tim ...

COITUS INTERRUPTUS In this practice, also known as withdrawal or pull-out method, the man withdraws his pe ...

VAGINAL DOUCHE With vaginal douche, plain water, vinegar, and other products are used immediately after orgasm ...

LACTATION With lactation, elevated prolactin levels with exclusive breastfeeding inhibit pulsatile secretion ...

STERILIZATION A 38-year-old multipara has completed her childbearing and is requesting sterilization. All three of ...

months, scar tissue forms around the inserts. The build-up of tissue creates a barrier that keeps sperm fr ...

10 ...

HUMAN SEXUALITY ...

LEARNING OBJECTIVES Take a sexual history Outline the human sexual response cycle List common sexual dysfunc ...

HUMAN SEXUAL RESPONSE CYCLE A 31-year-old woman, mother of four children, comes to the office stating she has lit ...

LINEAR MODEL Desire. In both women and men the desire for sexual activity is also known as libido. Desire is ...

Refractory Phase. This is a unique characteristic of men and is the period of inability to be aroused before a ...

CIRCULAR RELATIONAL MODEL Masters and Johnson’s linear, four-stage biologic model of sexual response for both me ...