contraception Flashcards
miss patch under 48hr
replace thats is
miss patch over 48hr
replace patch and 7 days of barrier
side effect of progesterone only pill
vaginal bleeding intermittent and irregular
under 3 hours on POP
take as normal
if > 3 hours*: on pop
take the missed pill as soon as possible, continue with the rest of the pack, extra precautions (e.g. condoms) should be used until pill taking has been re-established for 48 hours
If 1 pill is missed (at any time in the cycle) COCP
take the last pill even if it means taking two pills in one day and then continue taking pills daily, one each day
no additional contraceptive protection needed
If 2 or more pills missed
take the last pill even if it means taking two pills in one day, leave any earlier missed pills and then continue taking pills daily, one each day
barrier needed
if pills are missed in week 1 (Days 1-7): emergency contraception should be considered if she had unprotected sex in the pill-free interval or in week 1
if pills are missed in week 2 (Days 8-14): after seven consecutive days of taking the COC there is no need for emergency contraception*
if pills are missed in week 3 (Days 15-21): she should finish the pills in her current pack and start a new pack the next day; thus omitting the pill free interval
implant is a subdermal insertion what are side effects
irregular/heavy bleeding is the main problem: this is sometimes managed using a co-prescription of the combined oral contraceptive pill. It should be remembered to do a speculum exam/STI check if the bleeding continues
‘progestogen effects’: headache, nausea, breast pain
when is the IUD effective from
instant
when is the POP effective from
2 days
when are COC, injection, implant, IUS effective from
7 days
Ulipristal may reduce the effectiveness of hormonal contraception and as such a period of how many days should be waited before starting the COCP
5 days
what form of contraception causes a delay in retrun to nromally fertiltiy of up to 12 months
injection
A 25-year-old female delivered her first child via caesarean section 4 weeks ago. She is exclusively breastfeeding and wishes to start using contraception. Which form of contraception is absolutely contraindicated?
COCP
until 6 weeks post partum
name some of UKMEC 4
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)
