Contraception Flashcards
Dianette (co-cyprindiol) is licenced for which two conditions?
Severe acne
Mod-severe hirsutism
Evra patch - how to use
Wear for first three weeks, changing patch every week
Followed by 1 week patch free where bleed will occur
Evra patch
What to do if the patch change is delayed at the end of week 1 or 2
< 48 hours
Change immediately
No further precautions
> 48 hours
Change immediately
Barrier method for the next 7 days
If UPSI in the last 5/7 then emergency contraception
Evra patch
What to do if the patch removal is delayed at the end of week 3
Remove immediately
New patch on usual cycle start day
Evra patch
Patch application is delayed at the end of a patch free week
Barrier contraception for 7/7
Reduced risk of which cancers when taking COCP (3)
Ovarian and endometrial and bowel
Increased risk of which cancers with COCP (2)
Other risks (3)
Breast and cervical
VTE, stroke, IHD
Missed pill rules for Qlaira
When is the pill classed as late?
If a woman has missed >2 pills then?
If it is taken >12 hours late
Emergency contraception
If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
If missed on day 27/28
Discard forgotten tablet, continue tablet taking in normal way
No further contraception
If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
Day 25/26
Take missed pill and next tab at usual time
No further contraception
If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
Day 18-24
Discard packet, start from day 1 again
Additional contraception for 9/7
If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
Day 1-17
Take missed pill immediately and next tab at usual time
Additional contraception for 9/7
age < 35 years and smoking
UKMEC
UKMEC 2
age > 35 years and smoking > 15 cigarettes/day
UKMEC
UKMEC 4
age > 35 years and smoking < 15 cigarettes/day
UKMEC
UKMEC 3
COCP
UKMEC 2 and 3 for BMI
30-34 UKMEC2
>=35 UKMEC3
COCP
Migraine with aura
Without aura
UKMEC
UKMEC 4
UKMEC 3 for continued prescribing
Contraindicated
Epilepsy taking phenytoin,carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine
UKMEC
COCP
POP
Implant
Depo
IUD
IUS
COCP
POP
UKMEC 3
Implant UKMEC 2
Depo, IUD, IUS UKMEC 1
Epilepsy on lamtrogine
COCP
POP, implant, depo, IUD, IUS
UKMEC 3 COCP
UKMEC 1
Epilepsy on lamtrogine
COCP
POP, implant, depo, IUD, IUS
UKMEC 3 COCP
UKMEC 1
norethisterone
levonorgestrel
ethynodiol diacetate
Are all types of?
How late can it be taken?
POP second generation
3 hours