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Semester 6 > Contraception > Flashcards

Contraception Flashcards

1
Q

What are the 4 MEC classes

A
  1. Category 1: This is where there is no significant risk
  2. Category 2: This is where the advantages outweigh the risks
  3. Category 3: This is where the disadvantages outweigh the risks
  4. Category 4: This is where there the risks are unacceptable
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2
Q

What are the 2 contraindications for progesterone only

A
  1. Less than 6 weeks postpartum or breast feeding
  2. The BP is above 160/100
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3
Q

What is the MOA of a progesterone only contraceptive

A
  1. It thickens the mucus plug and prevents implantation
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4
Q

What is the main problem with a progesterone only pill

A

It can only be given to highly motivated patients as if the pill is taken even 3 hours late it is considered a missed dose

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5
Q

What are the contraindications for COC 7

A
  1. Increased risk of thromboemboli
  2. Cardiovascular risk factors
  3. Breastfeeding
  4. Migrane with arua
  5. Breast cancer
  6. Liver tumors
  7. Enzyme drug inducers
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6
Q

What causes increases risk of thromboembolic events in women

A
  1. Less than 3 weeks post partum
  2. Smoking more than 15/day over the age of 35
  3. Prior DVT or PE
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7
Q

What is the MOA of a COC

A
  1. Inhibits ovulation
  2. Thickens the cervical mucus
  3. Prevents implantation
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8
Q

What is the main benefit of a barrier method

A

It prevents STI and acts as a contraception method

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9
Q

What is the contraindication for a barrier method

A

Latex allergy

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10
Q

What is the contraindications of an IUD 5

A
  1. Heavy menstruation
  2. Dysmenorrhea
  3. Distorted uterine cavity
  4. High risk of STI or previous STI
  5. Women that is clinically unwell with AIDs
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11
Q

What is the mechanism of action of a Cu IUD

A
  1. Spermicidal
  2. Prevents implantation of the fertilised egg
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12
Q

What are the contraindications of Levonorgestrel-Releasing Intrauterine System

A
  1. Uterine cavity distortion
  2. Active STI
  3. Clinically unwell with AIDs
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13
Q

What is the Yuzpe method and what is it used for

A

This is where high doses of ordinary COCs are taken as an emergeny contraception method

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14
Q

For how long is emergency contraception effective

A

120 hours

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15
Q

When are pill method emergency contraceptives most effective

A

24-48 hours after

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16
Q

What does the billings ovulation method use to check for the chances of getting pregnant

A

Changes in cervical mucus

17
Q

What does the sympto- thermal method use

A

It monitors temp throughout the cycle

18
Q

What is the lactational amenorrhea method

A

Utilises the physiological pause in ovulation in the postpartum period when a mother is breastfeeding

19
Q

What are the criteria that must be upheld for the lactational amenorrhea method to be effective 3

A
  1. Exclusive breastfeeding
  2. Menses have not returned
  3. Baby is less than 6 months

Semester 6 (23 decks)

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