11 - Gynae - Contraception - Emergency Contraception + Intrauterine Contraceptive Devices Flashcards
levonelle and ellaOne - both prevent ? - how many days after USI can they be used?
ovulation
levonelle - 3 days
ellaOne - 5 days
IUD - prevents ? - most ? method - can be inserted up to ? days after ??? or expected day of ? - ? prophylaxis usually given at time of insertion - can also be used as ? ? contraception for how long?
implantation efficacious 5 USI ovulation ABx long term 5-10 years depending on coil
Hormone containing devices - IUS
contain ?
can be replaced every ? or ?yrs
main effects: changes to ? ?,
? fluid, backed by ? changes which impede ?
-reduces ? loss and ?
-systemic side effects are ?, but ? light bleeding is the main problem
satisfaction and efficacy rates are ?
return to fertility after removal is ? and ?
progestogen 3 - 5 cervical mucus uterosacral endometrial implantation menstrual pain lower irregular high rapid complete
Usually inserted in the ? half of the cycle, but can be used straight after ? or in the ?
IUS is also used in non-contraceptive indications, such as ? or ?
first termination puerperium dysmenorrhoea menorrhagia
Complx of IUD/IUS
o Pain or ? shock (increased vagal tone) can complicate ?
o ? - usually within the first month
o ? of the uterine wall (<0.5%) - can occur at ? or may ? there afterwards
o ? or more ? menstruation (except with ???)
o ? (20% risk) - women with ?STI are at increased risk of ??? during first 20 days
after insertion - but mainly limited to ? women with ?partners
o Ectopic - if pregnancy does occur with IUD/IUS present - but rate ? than if ?
contraception
cervical insertion expulsion perforation insertion migrate heavier painful IUS infection aSx PID younger multiple lower no
