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Genito urinary > Contraception > Flashcards

Contraception Flashcards

1
Q

What are the two hormonal contraceptives

A

CHC
POC

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2
Q

When should contraceptives be used

A

Only adolescents after menarche

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3
Q

Is IUD effective

A

Yes very but can cause local side effects

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4
Q

When is IUD less effective

A

For women at risk of pelvic inflammatory disease

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5
Q

How can you improve barrier methods

A

By using spermicide

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6
Q

Name some oestrogen products

A

Ethynlestradiol

Estradiol

Menstranol

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7
Q

Name some progestogen contraceptives

A

Desogestrel

Gestodene

Levonorgestrel

Northisterone

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8
Q

When does contraception fail

A

Weight

Malabsorption

Drug interactions

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9
Q

When should CHC be discontinued before surgery

A

4 weeks

Can resume CHC after full mobilisation

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10
Q

What if contraceptive cannot be stopped?

A

Offer thromboprophylaxis and graduated stockings

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11
Q

What do enzyme inducers do

A

Reduce effects of contraceptives

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12
Q

Give some examples of enzyme inducers

A

Carbamezapine, rifambutin, phenobarbital, phenytoin etc

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13
Q

How long should you wait to resume contraceptives after stopping enzyme inducers

A

28 days

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14
Q

What happens when you get migraines during contraceptives

A

Report any increase in headaches and discontinue if symptoms persist

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15
Q

Is there a risk of arterial disease with contraceptives

A

Yes

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16
Q

What should you do if you have D+V within 3 hours of taking the contraceptive

A

Take another pill asap

17
Q

Which pill has a missed pill time of more than 24 hours

A

Everything else

18
Q

Which pill has a missed pill time of more than 12 hours

A

Desogestrel
Zoely
Qlaira

19
Q

Which pill has a missed pill time of more than 3 hours

A

Levonorgestrel
Norethisterone

20
Q

What happens if you miss a pill

A

Take another pill asap

21
Q

What if you miss 2 pills

A

Might not be protected so take a pill but continue with extra protection for 7 days

22
Q

What is the first line for emergency hormonal contraception

A

IUD - can be inserted up to 5 days (120 hours)

23
Q

Is the IUD affected by BMI, body weight or other drugs

A

No

24
Q

When should you seek medical advice with IUD

A

Severe pelvic pain, increased bleeding, period changes and pain during intercourse

25
Q

EHC overview

A
26
Q

How long before surgery should you stop contraceptives

A

4 weeks. Offer alternative method of contraception

27
Q

How many days after childbirth and abortion should emergency hormonal contraception be offered

A

Childbirth - day 21

Abortion - day 5

Genito urinary (6 decks)

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