Contraception Flashcards
1
Q
Most effective form
A
Implant
2
Q
Contraception most discont
A
Patches
3
Q
COCP UK mec 3/4
A
- Age >35
- Smoker
- Hx of VTE
- Fhx of VTE <45yo
- HTN/stroke/cardiac disease
- Current breast CA
- BRACA 1/2
- Migraine w aura
4
Q
Benefits of COCP
A
- Red risk of ovarian and endo CA
- Improves acne
- Red risk of colorectal CA
- Controls HMB
5
Q
Contraception on EI drugs
A
- Mirena
- Copper coil
- Depo
6
Q
Risks of depo
A
- Dec bone denisity
- Inc risk of breast and cervical CA
- WEIGHT gain
7
Q
Contraception after birth
A
- 21 days of lactational amenorrhoea
- No contraception for 6 months- ONLY IF exclusively BF
- Coils- in 48h or 4 weeks PN
- POP/progesterone methods- Safe in BF, start from D21
- COCP- After 6 weeks if BF/VTE risk
- 3 weeks if not BF
8
Q
Contraception and obesity
A
- Usestandard doses of coils/implant/POP
- Depo- if non smoker, no HTN/cardiac disease
9
Q
Contraception after abortion
A
- Implant/coil straight away
- Pill- to start anytime after TOP/miscarriage
10
Q
Stopping contraception >50yo
A
Women on hormonal cont:
- Stop pill etc for 2 weeks
- Check FSH, if >30 repeat in 6 weeks
- if FSH >30 x2, can stop cont after 1 year
Non-hormonal:
- Stop after 1 year of amenorrhoea
11
Q
Stopping cont >55yo
A
Just stop
