Contraception Flashcards
Outline positives and negatives of COCP (same for patch and ring)
Combined oral cotraceptive pill contains oestrogen and progesterone.
Is taken for 21 days then not taken for 7 days and then repeated. (bleed during the 7 days off the pill)
Postives:
Can regulate/reduce bleeding
Reduces risk of endometrial and ovarian cancer
Improves acne
Negatives:
Not good if regular GI upset
Increases risk of breast cancer
Increased risk of VTE and stroke
Contraindicated in:
Breast cancer
Smoking
BMI>35
What are the options for emergence contraception?
Elllaone (ulipristal acetate ) can be used up to 5 days after unprotected sex
Copper Coil- can be used up to 5 days after unprotected sex
Levonelle - can be used within 3 days of UPS
What are the benefits and negatives of Copper coil?
Positives:
Used for up to 10 years
Can be used as emergency contraception
Negatives:
Can make periods heavier or more painful
Small risk of infection in first few weeks
Outline positives and negatives of IUS (Levonorgestrel)?
Postives:
Can be used for 3-5 years
Can be used to treat heavey menstraul bleeding
Can be used as part of HRT
Fertility possible immediately after removal
Negatives:
Patients have to be able to check strings to ensure device is still in place
Small infection risk after insertion
CI: breast/endo/cervical cancer
Outline positives and negatives of Progesterone injection
Positives:
very reliable as don’t need to rely on patient to remember everyday
few contrindications
Negatives: Takes up to 12 months once stopped the injection to be able to conceive Have to have appointment every 12 weeks Increase in weight Increase in acne
Outline positives and negatives of POP
Progesterone only pill
Positives:
Few contraindications
Amenorrhea for mlst after few months
Negatives: Not good with GI upset Must be taken at same time everyday without pill free interval Headache Bloating Worse acne
CI: breast or liver cancer
