Contraception Flashcards
non-contraceptive benefits of hormonal contraception
pain heavy bleeding irregular bleeding PMS breast tenderness acne hirsutism ovarian cancer
LARC methods
- IUD/IUS
2. SDI/nexplanon
what is the IUD?
copper coil that lasts up to 10 years
non-hormonal
emergency contraception
often makes periods heavy and longer in first few months
what is the only suitable method post-breast cancer?
IUD
examples of IUS
mirena
levosert
kyleena
jaydees
what is mirena also licensed for?
heavy periods
what is common in the first few months of IUS
irregular spotting and bleeding, but then amenorrhoea at 6 months in most
what is the SDI
lasts 3 years, progesterone only, invasive/LA
prolonged PV bleeding
what is the criteria used for contraception?
UKMEC
examples of CHC?
pill
ring
patch
how to use CHC?
start in first 5 days of period or anytime in cycle and use condoms for 7 days
factors that affect effectiveness of OCP
impaired absorption (GI conditions) increased metabolism (liver) forgetfulness
adverse of OCP
nausea acne bleeding breast tenderness arterial and venous thrombosis (check BMI and FH) breast and cervical cancer systemic hypertension migraines with aura increased risk of ischaemic stroke (UKMEC4)
what cancers is OCP protective of?
ovarian
endometrial
how to use POP (cerelle/desogestrel)?
begin in first 5 days of period or anytime in cycle and use condoms for 2 days
