Contraception Flashcards
What are the three things which can be used as emergency contraception?
Progesterone only pill - up to 72 hours, can be given more than once per cycle
EllaOne - up to 120 hours
Copper coil - up to 120 hours
What are the contraindications for the combined oral contraceptive?
- Migraine with aura
- History of VTE
- History or current breast/cervical cancer
What happens if you miss pills on the oral contraceptive?
1 missed pill - Take next pill as soon as possible, no contraception needed
2 missed pills - Take pills as soon as possible, no more than 2 in one day, consider additional contraception for 1 week
If missed pill is in first week of pack - Emergency contraception
If missed pill is in last week of pack - Don’t take a break, immediately take next pack
What are the progesterone-only options?
Mirena coil - 5 years
Progesterone depot - Cannot be given to extremes of reproductive age, will affect fertility for up to a year after cessation, 2-3 months
Implant - SC implant, lasts 3 years
Progesterone only pill
How does the copper coil work?
Aseptic inflammation
Lasts 5 years or 10 years
NOT SUITABLE FOR WOMEN WITH HEAVY PERIODS
What is the most effective form of emergency contraception?
Copper IUD (120 hours, OR within 5 days of the earliest estimated date of ovulation)
What are the hormonal forms of emergency contraception?
Levonorgestrel (72 hours)
Ulipristal acetate (120 hours/5 days)
How long after delivery can a woman get a IUS?
Immediately if no complications (within 48 hours)
OR
After 4 weeks
How long after birth can a woman get POP?
Immediately after birth up to 21 days, no additional contraception.
After 21 days, additional contraception needed.
How long after birth can a woman get the COCP?
Breastfeeding: 6 weeks
Not breastfeeding: 3 weeks
How many days for COCP to start working?
7 days
How long should be the COCP be stopped for elective surgery?
4 weeks pre-operatively
2 weeks post-operatively
How long after taking emergency ulipristal acetate can a woman restart COCP?
5 days
How long after taking emergency levonorgesterol can a woman restart COCP?
Immediately
If a woman takes emergency levonorgesterol and vomits within 3 hours, what should she do?
Repeat dose