Cervical cancer Flashcards
Moderate dyskaryosis on cervical smear managment
CIN II - refer for urgent colposcopy in 2 weeks
Severe dyskariosis
CIN III - urgent colposcopy (within 2 weeks)
Suspected invasive cancer on smear management
urgent colposcopy
inadequate smear managment
repeat smear - if persistent (3 inadequate samples) assessment by colposcopy
Which is the only contraceptive with an increases the risk of cardiovascular disease
COCP
UKMEC 2 < 35
UKMEC 4 >35 y/o >15 cig
Which contraceptive with a increase risk of obesity and what is a complication of obesity for people on COCP?
COCP
UKMEC 2 - bmi 30-34
UKMEC 3 - BMI >35
Migraine is contraindicated in which contraception
COCP ONLY as it will increase the risk of a stroke
rest of the contraceptions are UKMEC 2
Epilepsy is contraindicated in which contaceptives
All epilepsy meds:
UKMEC 1 - Depot IUD IUS
UKMEC 2 - implant
UKMEC 3 - COCP and POP
For lamotrigine:
UKMEC 1 - POP implant depot IUS IUD
UKMEC 3 - COCP
Difference between IUS and IUD
iUS hormonal one as it is hormonal needs 7 days to be effective contraception
When is expulsion of IUD/IUS most likely
in the first 3 months and there is a 1 in 20 chance
Disadvantages of the implant
Additional contraceptive needed for first 1-5 days of cycle
irregular heavy bleeding
progestogen effects : nausea headache breast pain
The contraindications
UKMEC 3 - ihd/ stroke
UKMEC 4 - current breast ca
What age group and characteristic is contraindicated for all hormonal contraception
BMI >35 and smoke 15 cigarettes a day
Risk of COCP
VTE, breast and cervical cancer,
IHD and stroke and
headache nauseas breast tenderness
pain meds for migraine Mx
- paracetamol and aspirin
2. sumatriptan
