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Year 5 OSCE Gynaecology > Contraception > Flashcards

Contraception Flashcards

1
Q

What contraception is safe in active breast cancer?

A

Copper Coil or Barrier

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2
Q

Name the common UKMEC4 for the Combined Oral Contraceptive Pill? (7)

A

Uncontrolled Hypertension
Migraine with Aura
Clot/Stroke/Vascular/IHD/AF
Breast Cancer
Age 35 > Smoke
Liver Issues
Lupus

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3
Q

Depo contraindication?

A

Osteoporosis

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4
Q

For how long is contraception needed after last period?

A

2 Years post last period under 50
1 year post last period over 50

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5
Q

When do pregnant women need contraception?

A

After 21 days

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6
Q

What contraception can be used immediately after giving birth?

A

Pop and Implant any time

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7
Q

When can copper coil be used after giving birth?

A

<48 hours or > 4 weeks

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8
Q

Combined oral contraceptive pill is licensed up to what age?

A

50

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9
Q

How does combined oral contraceptive pill prevent pregnancy?

A

Prevents ovulation and thickens mucus

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10
Q

What are the different regimens for combined oral contraceptive pill? (3)

A

21 days on and 7 off
63 days on and 7 off
Continuous

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11
Q

Name the common side effects of combined oral contraceptive pill? (7)

A

Unscheduled bleed
Breast tenderness
Mood changes
Headache
Hypertension
Clotting
Breast/cervical cancer

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12
Q

What types of cancer can the combined oral contraceptive pill increase the risk of? (2)

A

Breast and Cervical

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13
Q

What types of cancer can the combined oral contraceptive pill decrease the risk of? (3)

A

Endometrial
Ovarian
Colon

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14
Q

When can you start combined oral contraceptive pill?

A

First day of cycle

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15
Q

Do you need additional protection for starting combined oral contraceptive pill?

A

No additional up to day 5 of period after this need condoms for 7 days

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16
Q

When switching from COCP how to swithc?

A

Finish one pack then start new pill pack without pill free period

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17
Q

Switching from COCP to Pop?

A

Switch anytime with 7days use of condoms

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18
Q

If you miss 1 COCP pill what to do?

A

Take asap even if 2 pills same day

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19
Q

If you miss more than 1 COCP what to do?

A

Take asap and use condoms for 7 days if day 1-7 of packs

20
Q

How long can you delay taking Cerazette (desogestrel) pop mini pill for?

21
Q

How does POP pill work?

A

thickens mucus and inhibits ovulation

22
Q

How soon are you protected after starting desogestrel (cerazette) pop mini pill?

A

Day 1-5 immediate protection
After this condoms for 2 days

23
Q

How often is the Depo injection needed?

24
Q

How long can it take for fertility to return after Depo?

25
Q

What are the UKMEC 4’s for Depo Injection? (4)

A

Active Breast Cancer
IHD
Unexplained Vaginal Bleed
Liver issues

26
Q

How does Depo Injection work?

A

Inhibits ovulation

27
Q

If start Depo Injection on day 1-5 of period when is protection?

28
Q

Side effects of Depo Injection? (7)

A

Weight Gain
Osteoporosis
Acne
Decreased Libido
Headache
Flushing
Hair Loss

29
Q

How long does Nexplanon last?

30
Q

What age is Nexplanon licensed for?

31
Q

How does Nexplanon help? (3)

A

Help with periods
No weight gain
No increased DVT risk

32
Q

Risks of Nexplanon (2)

A

Acne
Problematic bleeding

33
Q

Name 5 common contraindications of Coils?

A

Pelvic Inflammatory Disease
Immune Suppression
Pregnant
Unexplained Bleeding
Fibroids

34
Q

Name the insertion risks of coils? (6)

A

Bleeding
Pain
Vasovagal Reaction
Perforation
Pelvic Inflmmatory Disease
Expulsion

35
Q

Before putting coil in how to prepare?

A

No sex for 7 days or use condoms

36
Q

How long does copper coil protect for?

A

5-10 years

37
Q

What risk does copper coil pose?

A

Increase risk of ectopic

38
Q

How long can mirena coil be used as protection for?

39
Q

How long can mirena coil be used for HRT?

40
Q

Benefits of Mirena coil? (3)

A

Helps periods
No effect on bones
No clotting risk

41
Q

Risks of mirena coil (2)

A

Increased risk of ovarian cyst
Increase risk of ectopics

42
Q

Can an under 16 be given contraceptive?

A

If meet Gillick competence and Fraser

43
Q

How to assess Fraser competence in under 16? (5)

A

Intelligent and Mature
won’t discuss with parents
will have sex regardless
risk of physical and mental health decline
best interest

44
Q

Ullipristal and Levonorgestrel side effects?

A

Breats Sore
Dizzy
Menstral Irregular
Nausea
Back pain

45
Q

Name which two medications can be used up to 120 hours (5 days) as emergency contraception?

A

Ullipristal and Copper Coil

46
Q

Name which medicaiton can be used up to 72 hours as emergency contraception?

A

Levonorgestrel

Year 5 OSCE Gynaecology (24 decks)

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