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PRP2 > Contraception > Flashcards

Contraception Flashcards

1
Q

Barrier methods?

A

Condoms
Diaphragms
Cervical Caps

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2
Q

When can spermicidal contraception be used?

A

In addition not alone

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3
Q

Most effective contraception?

A

IUD - Copper coil

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4
Q

Which conditions is IUD - Copper coil contraindicated in?

A

Pelvic inflammatory disease or Unexplained vaginal bleeding

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5
Q

Progesterone only Contraceptive examples?

A

Levonorgestrel, Norethisterine, Desigestrel

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6
Q

Do progesterone only contraceptives need pill free periods?

A

No pill free days - take every day

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7
Q

If Progesterone only contraceptive is started after first 5 days?

A

Need 2 days of precaution

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8
Q

Tips on taking progesterone only contraceptive for maximum efficacy?

A

Take at same time each day for maximum efficacy

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9
Q

Other progesterone only pills need to be taken within how long to avoid being considered missed pills?

A

Within 3 hours

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10
Q

Desogestrel needs to be taken within how long to avoid being considered missed pills?

A

Within 12 hours

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11
Q

Medoxyprogesterone Acetate injection side effect? And what to do after treatment ends?

A

Loss of bone density may occur

After treatment ends takes up to 1 year to return to fertility

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12
Q

MHRA warming for Etonogesterol implant?

A

Neurovascular injury and migration of the implant -

THEREFORE REMOVE IMPLANT STRAIGHTAWAY

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13
Q

When to remove Etonogesterel implants?

A

Injected in upper arm

Remove implant if it moves around

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14
Q

Which contraceptive is not given in over 50 years?

A

Combined Hormonal Contraceptives

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15
Q

Good things about Combined hormonal contraceptives?

A
  • Reduces risk of Ovarian, Endometrial and Colorectal cancer
  • Aligns bleeding patterns
  • improves Acne
  • Maintains bone density in peri-menopausal under 50
  • Reduces menopausal symptoms
  • Reduced dysmenorrhoea and Menorrhagua
  • Manages symptoms of polycystic ovaries, endometriosis and pre menstrual syndrome
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16
Q

When to avoid Combined hormonal contraceptives?

A
  • Hypertension
  • Women with CVD risk factors (if 2 or more avoid CHC)
  • Age 35 years who smoke
  • Migraine with Aura
  • New onset of Migraine without Aura while using CHC
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17
Q

2 Different Types of Combined Hormonal Contraceptives?

A
  • Monophasic
  • Multiphasic
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18
Q

Difference between Monophasic and Multiphasic CHC types?

A

Monophasic is the FIXED AMOUNT of oestrogen and a progesterone in each active tablet

Whereas

Multiphasic Varying amounts of the two hormones

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19
Q

Oestrogen examples?

A

Ethinylestradiol, Mestranol and Estradiol

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20
Q

Combined hormonal contraceptives regimen duration?

A

21 day regimen with 7 day hormone free interval during which time Monthly withdrawal bleed occurs

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21
Q

Why do CHC packs have 7 dummy tablets for the hormone free 7 days?

A

Increases Adherence

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22
Q

Switching between CHC to CHC?

A

No additional Contraceptive needed

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23
Q

Switching from progesterone only pills to Combined hormonal contraceptives? Contraception needs?

A

7 days extra contraception needed

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24
Q

Switching from Levonorgestrel IUD to Combined hormonal contraceptives? Extra contraception needed?

A

7 days extra contraception precautions needed

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25
Q

Switching from Copper IUD to combined hormonal contraceptives?

If CHC started on up to day 5 of menstrual cycle:

A

No additional contraceptive needed

26
Q

Switching from Copper IUD to combined hormonal contraceptives?

If CHC started after day 5 of menstrual cycle:

A

7 days extra precaution contraceptive needed

27
Q

Levonorgesterel Breastfeeding delay?

A

No delay

28
Q

Levonogesterel Caution in which pts?

A

Malabsorption

29
Q

Ulipristal breastfeeding delay?

A

1 week delay

30
Q

Copper IUD MHRA warning?

A

Risk of uterine perforation

Pelvic pain!
Sudden change in period
Pain during sex
Unable to feel threads

31
Q

Copper IUD pregnancy?

A

Remove in first trimester

32
Q

How often does copper IUD need to be replaced?

A

Every 5-10yrs

33
Q

Levornogesterol IUD replace how long?

A

Replace every 3-10 years

34
Q

Levonorgesterol when can I start back regular contraception?

A

Can start back immediately

35
Q

Combined hormonal contraception - use condom for how long till effective?

A

7 days

36
Q

Progesterone only pull use condoms for how long after rumination regular contraception?

A

2 days

37
Q

Ulipristal when to reinstate starting regular hormones?

A

5 days - during these 5 days use condoms for another 7 days till effective
= total 12

38
Q

If during week 1 of taking CHC when can they reinitiate after taking Ulipristal?

A

Immediately but condom for 7 days

39
Q

BMI affect on Copper IUD?

A

None unlike levotnorgesterl or Ulipristal

40
Q

BMI over 26kg or over 70kg?

A

Double dose levornorgesterl

Or

Ulipristal

41
Q

Can levonorgesterl or Ulipristal be used more than once in the same cycle?

A

Yes it’s fine to use more than once in same cycle - may have more side effects tho especially levornorgesterel

42
Q

If pt has vomited/diarrhoea in 3hrs of taking Levi/ulipristal?
(Emergency contraceptives)

A

2nd dose needed

43
Q

Regular contraceptive missed pill Rule?

A

Within 2hrs of taking CHC or progesterone only

Take one asap to aim within time period

44
Q

Window of missed pill for Desogesterol?

A

12 hours

45
Q

Window of missed pill for regular contraceptives other than Desogesterol?

A

Less than 3 hours

46
Q

Regular contraceptions excluding Desogesterol - protection needed till how long of pills are correctly taken?

A

48 hours

47
Q

Desogesterol - protection needed till how long of pills are correctly taken?

A

7 days

48
Q

If UPSI happens between a missed dose and 2 days after restarting regular contraception?

A

EMERGENCY CONTRACEPTION NEEDED

49
Q

Elective surgery - when to stop contraception?

A

At least 4 weeks prior

50
Q

When can regular contraception be restarted after a surgery?

A

2 weeks after full remobilization

51
Q

Trauma surgery unable to stop CHC or regular contraception?

A

Thromboprophylaxis to consider

52
Q

Desogesterol how should it be taken?

A

Every day without any break - 28 days

53
Q

If 2 or more pills are missed before hormone free interval what should pt do?

A

Continue through Hormone free interval and finish current pack

Will make a low chance of pregnancy if prior pils have been taken correct

54
Q

Missed 2 pills and she is on day 10, should she be given emergency contraception?

A

No as she is on week 2/3 of it and should not need emergency if the missed pills were correctly managed

55
Q

Combined Hormonal Contraception should be not given if pt is what? Especially if over 35yrs old

A

Smoking

Especially if over 35 years old

56
Q

Within how many days is no additional precaution needed when starting progesterone only contraception?

A

Up to and including day 5 of the menstrual cycle

57
Q

If after the 5 days period in the menstrual cycle is missed and pt is going to start taking progesterone only pill, how many days of additional precautions needed?

A

2 days

58
Q

Progesterone only pills such as levornorgesterel or norethiresterone should be taken before how long so it’s not counted as missed pill?

A

3 hrs

59
Q

How long does the vomiting/diarrhoea have to occur for it to be able to take another pill?

A

If vomiting occurs within 2 hours of taking pill and second pill is not taken within 3 hrs of normal time it counts as missed pill

60
Q

After taking Ulipristal pt should wait how long to restart hormonal contraception

A

5 days

PRP2 (74 decks)

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