Chapter 2- Sexual Health Flashcards
Name 7 types of non oral contraceptives
1) injectables depo-provera
2) sayana-press
3) nexplanon
4) mirena
5) jaydess
6) CVR nuvaring
7) patch EVRA
What two hormones does the COC contain
1) oestrogen
2) progestogen
In the COC what’s the type of oestrogen used
Ethinyloestradiol
COC mode of action?
1) suppression of ovulation
2) cervical mucus thickening
3) endometrial thinning
3 ways the COC efficacy is reduced?
1) poor compliance
2) reduced absorption
3) increased metabolism
What does UKMEC stand for and how many categories are there?
UK medical eligibility criteria - 4
What is in ZOELY
Nomegestrol acetate
Estradiol
Why is ZOELY 24/4 rather than 21/7?
Greater suppression of follicle growth
Improved Decrease in FSH levels
Significantly shorter WB
Is ZOELY monophasic?
YEP
What is in Qlaira
Estradiol valerate
Dienogest
Is Qlaira monophasic?
NO it’s quadriphasic
26 active tabs and 2 placebo
What’s the effects of Qlaira?
Step down in oestrogen
Step up in progestogen
What’s the benefits of Nuva-ring
Good cycle control
Don’t have to remember a pill
Less nausea and mastalgia
What’s EVRA and how do you use it
Contraceptive transdermal patch, applied weekly for 3 weeks then a patch free week
Where can EVRA be applied?
Upper outer arm
Upper torso
Buttock
Lower abdomen
What’s the mechanism of action of POPs
Cervical mucus changes
Endometrial changes
Prevent ovulation
What are 6 key side effects of POPs
Unpredictable bleeding Breast tenderness Mood swings Acne Bloating Weight gain
Give four examples of POPs
Femulen
Microbor/noriday
Norgeston
Cerazette
What’s the rules on missed pills for Cerazette
Missed pill >12hrs
Need two pills after missed pill to achieve contraceptive cover
Name three types of injectables
Depo provera
Sayana press
Noristerat
Which injectable is self administered
Sayana press (sub cut)
What is DMPA?
Depot methoxyprogesterone acetate- injection similar to progesterone
What’s a key side effect to DMPA
Weight gain
Name two Subdermal implants
Norplant
Implanon
