11 - Gynae - Contraception - Combined Methods Flashcards
1
Q
COCP
main mech?
2 other mechs?
A
inhibit ovulation
thin endometrium and thicken cervical mucus
2
Q
COCP
? tablet a day for ? weeks then stopped for ? week to allow ?
A
one
3
1
menstruation
3
Q
COCP - can take packets ? without a ? to reduce the freq of the ? ? - increased ? spotting may occur
if taken properly - ? effective, if not, failure rates are ?
A
consecutive
break
withdrawal bleed
irregular
highly
high
4
Q
COCP also useful for... - Menstrual ? control o ? + ? o ? symptoms o ?/hirsutism o Recurrent ? ? cysts o Protection against ? & ? o Reduced risk of ??? o Reduced incidence of ?, ? and ? CA
A
cycle dysmenorrhea menorrhagia premenstrual acne simple ovarian endometriosis and fibroids PID ovarian, endometrial and bowel
5
Q
COCP - 3 common things that reduce its absorption
A
D + V + Oral Abx
6
Q
COCP
- For standard-strength pills, ? or ? missed pills ? in the pack will not cause a problem
- if a ? dose is being given only 1 pill can be missed
- if more than this has been missed then ? should be used for ? days
A
1 or 2
anywhere
low
condoms
7
7
Q
COCP - You should not take the pill if you:
are ? ? and are ? or older stopped smoking less than a ? ago and are 35 or older BMI > ? take enzyme inducers - ? ? ?, ?, ? drugs get ???'s or a FHx (under 45's) have ??? or any ? disease history of ? severe ?, esp if with ? ? cancer disease of the ? or liver ?? with complx or ?? for the past ? years
A
pregnant smoker 35 year 35 ST Johns Wort, Rifampicin, Epilepsy (anticonvulsants) VTE's HTN Cardiac stroke migraines aura breast gallbladder DM DM 20
8
Q
COCP - SE's most common are -? -headache -? tenderness -? bleeding - first few ? -suppressed ? - CI'd weeks postpartum
A
nausea breast breakthrough months lactation 6
9
Q
Combined Transdermal Patch
-efficacy, side effects and contraindications are similar to ????
-new patch applied ? for ? weeks in a row - followed by a ? ? week
Called (patrice) ?
A
COCP weekly 3 patch free EVRA
10
Q
Combined vaginal ring - called ?
- same ? as other combined methods - ? weeks in and ? week out
- may be better ? than COCP due to lower ? ? side effect
- do not remove during ?
A
nuvaring pattern 3 1 tolerated systemic estrogen sex
