contraception Flashcards
emergency contraception
Levonorgestrel vs ulipristal vs copper IUD
time frame?
moa?
when to restart cocp/pop?
how to take cocp?
breast-feeding?
missed pill?
how to take POP?
adverse effect of implant?
irregular bleeding, heavy bleeding
progesterone only- so can give headaches. nausea, breast pain
moa of
pop
medroxyprogesterone injection
IUD merina
IUD Copper
IUD in emergency contraception(still copper)
implant
pop: thickens membrane
injectable: presents ovulation
iud merina- prevents endometrial proliferation
IUD Copper: decreases sperm motility
IUD in emergency contraception: toxic to ovum and sperm
implant: inhibits ovulaiton
medication will reduce the effectiveness of the COCP?
st johns wort
unprotected sex, post partum 2 weeks
contraception?
Post-partum, women only require contraception 21 days from giving birth
cocp absolute contraindications
more than 35 years old and smoking more than 15 cigarettes/day
migraine with aura
history of thromboembolic disease or thrombogenic mutation
history of stroke or ischaemic heart disease
breast feeding < 6 weeks post-partum
uncontrolled hypertension
current breast cancer
major surgery with prolonged immobilisation
positive antiphospholipid antibodies (e.g. in SLE)
moa Cerazette (desogestrel)?
inhibits ovulation
all other pop- thickens mucus membrane
which IUDs better if wanting to make periods lighter
merina IUD
method of contraception which has a proven link with weight gain.?
Depo Provera
cocp increases which type of cancer?
decreases which type?
increased risk of breast and cervical cancer
protective against ovarian and endometrial cancer
Progestogen-only pill: most common adverse effect?
Progestogen-only pill: irregular vaginal bleeding is the most common adverse effect
Mirena (intrauterine system) - how long will it take to be effective?
7days
7 days- COC, injection, implant,
IUD- copper is immediately, !!!!!
missed to chnage contraceptive patch?
contraceptive patch change is delayed greater than 48 hours, the patch should be changed immediately and a barrier method of contraception used for the next 7 days
consider emergency contraception
