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Genito-Urinary System > Combined Hormonal Contraception > Flashcards

Combined Hormonal Contraception Flashcards

1
Q

At what age should you not give Combined Hormonal Contraception

A

above 50

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2
Q

When should you avoid Combined Hormonal Contraception

A
  • hypertension
  • 35+ who smoke
  • multiple CVD risk factors
  • migraine with aura
  • new onset migraine during CHC
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3
Q

What cancer does Combined Hormonal Contraception reduce the risk of

A
  • Endometrial
  • Ovarian
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4
Q

What does Combined Hormonal Contraception do to monthly period

A

Aligns monthly bleeding

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5
Q

What does Combined Hormonal Contraception do that is good

A
  • reduces dysmenorrhoea
  • manages symptoms of polycystic ovaries
  • reduces menopausal symptoms
  • maintains bone density in peri-menopausal under 50
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6
Q

What are the two types of Combined Hormonal Contraception preparations

A
  • Monophasic
  • Mutiphasic
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7
Q

What is Monophasic Combined Hormonal Contraception

A

fixed amount of each hormone in each tablet

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8
Q

What is Mutiphasic Combined Hormonal Contraception

A

varying levels of each hormone in different tablets

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9
Q

What can the withdrawal symptoms of the Combined Hormonal Contraception 7 days break be

A
  • Withdrawal bleed

(this bleed is not the normal physiological bleed)

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10
Q

Is there a precaution required when switching from one CHC to another

A

no

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11
Q

Is there a precaution required when switching from POP to CHC

A

7 days precaution needed

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12
Q

Is there a precaution required when switching from IUD to CHC

A

7 days needed

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13
Q

Is there a precaution required when switching from copper IUD to CHC

A
  • if started within 5 days of bleed (non required)
  • if started after 5 days of bleed ( 7 day needed)
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14
Q

What are urgent reasons to stop taking CHC

A
  • DVT
  • chest pain/breathlessness
  • loss of motor/sensory function
  • severe stomach pain (hepatotoxicity)
  • very high blood pressure
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15
Q

What are less urgent reasons to stop taking CHC

A
  • signs of breast cancer
  • new onset migraine
  • high BP
  • high BMI
  • persistent unscheduled bleeding
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16
Q

CHC and Surgery

A
  • discontinue at least 4 weeks before
  • restart CHC after 2 weeks after full mobilisation
17
Q

What are side effects of all hormonal contraception

A
  • headache
  • unscheduled bleeding
  • mood change
  • weight gain
  • libido change
18
Q

When should you retake a dose of CHC

A

if a dose is forgotten / has diarrhoea / vomits within 2 hours of dose timing

Genito-Urinary System (7 decks)

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