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Clinical 3rd Yr > Chapter 2- Sexual Health > Flashcards

Chapter 2- Sexual Health Flashcards

1
Q

Name 7 types of non oral contraceptives

A

1) injectables depo-provera
2) sayana-press
3) nexplanon
4) mirena
5) jaydess
6) CVR nuvaring
7) patch EVRA

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2
Q

What two hormones does the COC contain

A

1) oestrogen

2) progestogen

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3
Q

In the COC what’s the type of oestrogen used

A

Ethinyloestradiol

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4
Q

COC mode of action?

A

1) suppression of ovulation
2) cervical mucus thickening
3) endometrial thinning

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5
Q

3 ways the COC efficacy is reduced?

A

1) poor compliance
2) reduced absorption
3) increased metabolism

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6
Q

What does UKMEC stand for and how many categories are there?

A

UK medical eligibility criteria - 4

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7
Q

What is in ZOELY

A

Nomegestrol acetate

Estradiol

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8
Q

Why is ZOELY 24/4 rather than 21/7?

A

Greater suppression of follicle growth
Improved Decrease in FSH levels
Significantly shorter WB

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9
Q

Is ZOELY monophasic?

A

YEP

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10
Q

What is in Qlaira

A

Estradiol valerate

Dienogest

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11
Q

Is Qlaira monophasic?

A

NO it’s quadriphasic

26 active tabs and 2 placebo

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12
Q

What’s the effects of Qlaira?

A

Step down in oestrogen

Step up in progestogen

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13
Q

What’s the benefits of Nuva-ring

A

Good cycle control
Don’t have to remember a pill
Less nausea and mastalgia

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14
Q

What’s EVRA and how do you use it

A

Contraceptive transdermal patch, applied weekly for 3 weeks then a patch free week

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15
Q

Where can EVRA be applied?

A

Upper outer arm
Upper torso
Buttock
Lower abdomen

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16
Q

What’s the mechanism of action of POPs

A

Cervical mucus changes
Endometrial changes
Prevent ovulation

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17
Q

What are 6 key side effects of POPs

A 
Unpredictable bleeding 
Breast tenderness
Mood swings
Acne 
Bloating 
Weight gain
18
Q

Give four examples of POPs

A

Femulen
Microbor/noriday
Norgeston
Cerazette

19
Q

What’s the rules on missed pills for Cerazette

A

Missed pill >12hrs

Need two pills after missed pill to achieve contraceptive cover

20
Q

Name three types of injectables

A

Depo provera
Sayana press
Noristerat

21
Q

Which injectable is self administered

A

Sayana press (sub cut)

22
Q

What is DMPA?

A

Depot methoxyprogesterone acetate- injection similar to progesterone

23
Q

What’s a key side effect to DMPA

A

Weight gain

24
Q

Name two Subdermal implants

A

Norplant

Implanon

25
Q

Is Norplant still available?

A

NO NO NO

26
Q

How long does Implanon last

A

Lasts 3 years

27
Q

How does the subdermal implant work?

A

Works by inhibiting ovulation

28
Q

How does jaydess and mirena principally work

A

Acts via a progestogenic action on the endometrium

29
Q

How long can you have/mirena in?

A

Generally 5years- if inserted at age of 45+ and patient amenorrhoeic can leave in situ until menopausal

30
Q

How long can you have jaydess in

A

3 years

31
Q

Name 4 types of oral contraception

A

1) COC
2) POP
3) ella one
4) levonelle

32
Q

What do you treat chlamydia with

A

Azithromycin 1G STAT

33
Q

What does HSV stand for and what are the two types

A

Herpes simplex virus
HSV1- oral sores
HSV2- genital sores

34
Q

How do you treat herpes simplex virus

A

Aciclovir 200mg 5 times a day for 5 days or preferred treatment is 400mg TDS for 5 days

35
Q

If its suppressive herpes simplex virus how do you treat?

A

Aciclovir 400mg BD for 9-12months

36
Q

What can HPV lead to?

A

Clinically apparent warts

37
Q

How can you treat HPV

A

Warticon
Aldara 5% imiquimod
Catephen- green tea extract

38
Q

What’s the name of genital lice

A

Pediculosis pubis

39
Q

Genital lice have 3 distinct phases of life:

A

1) egg or nit
2) nymph
3) louse (adult crab)

40
Q

What’s the benefit of ZOELY 24/4 than 21/7

A

Greater suppression of follicle growth
Improved decrease in FSH
Shorter withdrawal bleeds

41
Q

What effect does increased gastric pH have on absorption of EllaOne?

A

Reduced absorption

Clinical 3rd Yr (11 decks)

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