Contraception Flashcards
What are the two hormonal contraceptives
CHC
POC
When should contraceptives be used
Only adolescents after menarche
Is IUD effective
Yes very but can cause local side effects
When is IUD less effective
For women at risk of pelvic inflammatory disease
How can you improve barrier methods
By using spermicide
Name some oestrogen products
Ethynlestradiol
Estradiol
Menstranol
Name some progestogen contraceptives
Desogestrel
Gestodene
Levonorgestrel
Northisterone
When does contraception fail
Weight
Malabsorption
Drug interactions
When should CHC be discontinued before surgery
4 weeks
Can resume CHC after full mobilisation
What if contraceptive cannot be stopped?
Offer thromboprophylaxis and graduated stockings
What do enzyme inducers do
Reduce effects of contraceptives
Give some examples of enzyme inducers
Carbamezapine, rifambutin, phenobarbital, phenytoin etc
How long should you wait to resume contraceptives after stopping enzyme inducers
28 days
What happens when you get migraines during contraceptives
Report any increase in headaches and discontinue if symptoms persist
Is there a risk of arterial disease with contraceptives
Yes
What should you do if you have D+V within 3 hours of taking the contraceptive
Take another pill asap
Which pill has a missed pill time of more than 24 hours
Everything else
Which pill has a missed pill time of more than 12 hours
Desogestrel
Zoely
Qlaira
Which pill has a missed pill time of more than 3 hours
Levonorgestrel
Norethisterone
What happens if you miss a pill
Take another pill asap
What if you miss 2 pills
Might not be protected so take a pill but continue with extra protection for 7 days
What is the first line for emergency hormonal contraception
IUD - can be inserted up to 5 days (120 hours)
Is the IUD affected by BMI, body weight or other drugs
No
When should you seek medical advice with IUD
Severe pelvic pain, increased bleeding, period changes and pain during intercourse
EHC overview
How long before surgery should you stop contraceptives
4 weeks. Offer alternative method of contraception
How many days after childbirth and abortion should emergency hormonal contraception be offered
Childbirth - day 21
Abortion - day 5
