COMBINED HORMONAL CONTRACEPTION (CHC) Flashcards
1
Q
FORMULATIONS
types of CHC
A
- tablets
- patches
- vaginal rings
2
Q
who is CHC not given to
A
50+ as safer options are available
3
Q
CHC health benefits
A
- reduced risk of ovarian, endometrial and colorectal cancer
- aligns bleeding pattern
- reduces dysmenorrhea and menorrhagia
- manages symptoms of polystic ovaries, endometriosis and premenstrual syndrome
- improves acne
- reduce menopause symptoms
- maintains bone density in peri-menopausal < 50yr
4
Q
when to avoid CHC
unsuitable if any of these risk factors
A
- 35yr who smokes
- hypertension
- multiple risk factors for cardiovascular; smoking, hypertension, BMI > or = 30, dyslipidemia, diabetes
- migraine with aura
- new onset migraine w/o aura during use of CHC
5
Q
what are the 2 types of preparations of CHC
A
- monophasic (fixed amount of oestrogen and progestogen)
- multiphasic (varying amounts of ^^)
6
Q
examples of oestrogen used in CHC
A
- ethinylestradiol
- mestrariol
- estradiol
7
Q
who experiences withdrawal bleed and why
A
women on 21DY regimen have a monthly withdrawal bleed during the 7DY hormone free interval
8
Q
A