COCP: Comorbidities Flashcards

1
Q

What are the UKMEC recommendations for the COCP and smoking?

A
  • UKMEC 2: age < 35 years
  • UKMEC 3: age > 35 years and smoking < 15 cigarettes/day
  • UKMEC 4: age > 35 years and smoking > 15 cigarettes/day
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2
Q

What are the UKMEC recommendations for the POP and smoking?

A

There is no increased risk of CVD with the POP and therefore they are classed as UKMEC 1 with regards to smoking.

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3
Q

What are the UKMEC recommendations for the COCP and Obesity?

A
  • UKMEC 2: BMI 30-34 kg/m2
  • UKMEC 3: BMI >= 35 kg/m2
  • UKMEC 4: BMI >= 40kg/m2

Obesity increases the risk of VTE

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4
Q

What UKMEC are all other contraceptives with regards to smoking?

A

UKMEC of 1.

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5
Q

What are the UKMEC recommendations for the COCP and Migraine?

A
  • UKMEC 3: Migraine without aura (Generally speaking)
  • UKMEC 4: Migraine with aura
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6
Q

What UKMEC are other contraceptives with regards to migraines?

A

Progestogen only methods such as the progestogen-only pill (POP), implant and injection are UKMEC 2 and are hence better choices.

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7
Q

What factors need to be considered when prescribing the COCP in epilepsy?

A
  • The effect of the contraceptive on the effectiveness of the anti-epileptic medication
  • The effect of the anti-epileptic on the effectiveness of the contraceptive
  • The potential teratogenic effects of the anti-epileptic if the woman becomes pregnant
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8
Q

If you are using contraception whislt taking anti-epileptics, what does the FSRH also recommend you do?

A

Use condoms

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9
Q

Most AEDs are UKMEC 3 for COCP and POP.

Which contraceptives are UKMEC 1?

A

Depo-Provera, IUD & IUS.

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