Contraception Flashcards
Most successful method
Surgery
Coils
Progestogen only implant
Breast cancer risk
Any hormonal contraception
Cervical or endometrial cancer risk
Intrauterine systems such as Mirena coil
Wilsons disease risk
Copper coil
Absolute contraindications to combined contraceptive pill
Uncontrolled hypertension
Migraine with aura
History of VTE
Aged over 35 smoking > 15 cigarettes per day
Vascular disease or stroke
Liver cirrhosis or tumours
Heart disease
SLE and antiphopholipid syndrome
What should not be used in >50s
Combined contraceptive pill
Progestogen injections (risk of OA)
How soon after childbirth should take contraception
Combined after 6 weeks
Progestogen only and implant any time
Copper coil or intrauterine system not between 2 days and 4 weeks but outwidth
CCP mechanism of action
Prevents ovulation
Progestogen only pill - mechanism
Thickening cervical mucus
Altering endometrium so less accepting of implantation
Progestogen only injection - mechanism
Inhibit ovulation by inhibiting FSH at pituitary gland
Projestogen injection - unique side effects
Weight gain and OA
Progestogen only implant - mechanism
Prevent ovulation
Coil - contraindications
Pelvic inflammatory disease
Immunosuppresion
Pregnancy
Pelvic cancer
Fibroids
Copper coil - mechanism
Toxic to ovum and sperm
Stops implantation
Copper coil - main contraindication
WIlsons disease
