Maternity Nursing Q 70
A female adult patient is taking a progestin-only oral contraceptive or mini pill. Progestin use may increase the patient’s risk for:
A. Endometriosis
B. Female hypogonadism
C. Premenstrual syndrome
D. Tubal or ectopic pregnancy
Correct Answer: D. Tubal or ectopic pregnancy
Women taking the mini pill have a higher incidence of tubal and ectopic pregnancies, possibly because progestin slows ovum transport through the fallopian tubes.
Option A: Progestins are widely regarded as effective treatments for the symptoms of endometriosis despite not all being indicated for the treatment of the disease. It is not yet fully understood how progestins relieve the symptoms of endometriosis, but they probably work by suppressing the growth of endometrial implants in some way, causing them to gradually waste away.
Option B: Hypogonadism is a condition in which the male testes or the female ovaries produce little or no sex hormones. Treatment may involve estrogen and progesterone pills or skin patches, GnRH injections, or HCG injections.
Option C: Premenstrual syndrome is defined as the recurrence of psychological and physical symptoms in the luteal phase, which remit in the follicular phase of the menstrual cycle. The rationale for the use of progesterone and progestogens in the management of premenstrual syndrome is based on the unsubstantiated premise that progesterone deficiency is the cause.