COCP Flashcards
COCP works by
supressing ovulation and thickening cervical mucous
COCP is equivalent in effectiveness, contraindications and precautions as
vaginal ring
COCP compared to vaginal ring
breakthrough bleeding is more with COCP
COCP absorption is affected by vomiting, severe diarhoea or malabsorption
vaginal ring is not available on PBS, may cause physiological vaginal discharge, may be accidentally expelled.
COCP is contraindicated in
current breast cancer
the first six weeks post partum if breastfeeding, but safe after this time
firsst 3 weeks post partum if additional risk factors for VTE
migraine with aura within the last 5 years
current or past history of IHD, stroke or TIA
aged 35 or older and smoking 15 or more cigarettes per day (or any amount of nicotine vaping)
hypertension (>160 systolic or >100 diastolic)
complicated valvular or congenital heart disease
current or past history of VTE
positive antiphospholipid antibodies
known thrombogenic mutation
major surgery with prolonged immobilisation
severe cirrhosis
hepatocellular adenoma or malignant liver cancer
is COCP safe in breastfeeding
not safe in the first 6 weeks postpartum but safe for breastfeeding after that
is COCP safe post partum
if individual has additional risk factors for VTE then no, otherwise yes
is COCP safe in migraine
not safe if migraine with aura in the last 5 years
is COCP safe in smoking
not safe if >35 and smoking more than 15 cigarettes per day
COCP requires expert clinical judgement in cases with
BMI > 35
diabetes with complications
Hx of migraine with aura but no episodes in the last 5 years
risk factors for cardiovascular disease
gall bladder disease
first degree relative with VTE under 45
0-3 weeks postpartum and not breastfeeding with no VTE risk factors
3-6 weeks post partum with VTE risk factors but not breastfeeding
