11 - Gynae - Contraception - Long-acting Reversible Contraceptives (LARCs)

Question 1

Mode of action similar to ??? - but ? is normally prevented - therefore protect against ? ? cysts and ? pregnancy

not ? dependent - high ? rates + more ? effective than ??? after 12 months

Answer 1

POP
ovulation
functional ovarian
ectopic

user
efficacy
cost
COC

Question 2

Depo-Provera - admin by ?? injection every ? months - causes ? after first few weeks of ? bleeding. Prolonged ? may continue after cessation. ? ? decr over 2-3y but stabilises and regained after ? - CI’d in ? and women with ?

Answer 2

IM
3
amenorrhea
irregular
amenorrhea
bone density
stopping
teenagers
osteoporosis

Question 3

Nexplanon - the ?

• inserted in ? arm, subdermally with ??
• lasts ? years and satisfaction is ?
• SE - esp ? ? in first year
• no drop in ? ? and rapid return to ? after removal

Answer 3

implant
upper
LA
3
high
irregular bleeding
bone density
fertility