Contraception Flashcards
What are the missed pill rules for POP
If traditional then > 3h need condoms for 2 days
If desogestrel then > 12h need condoms for 2 days
If has sex in that time then need emergency contraception
What are the missed pill rules for COCP
If missed <3 pills then no need to do anything
If missed 2 or more pills depends where you are in your cycle. You need to use emergency contraception for 7 days
- if in week 3 and has had sex then need to miss the pill free week
- if in week 1 of taking pills then need emergency contraception if has had sex in the pill free interval
What is the risk of VTE with the COCP vs normal
Background risk is 5 in 100,000
With COCP 25 in 100,000
What are the emergency contrceptives, when can you take them again if you vomit
How do they work?
Which one is the best?
Ullipristal acetate
- Selective progesterone receptor modulator
- Can take again if vomits within 3 hours
- Works up to 120 hours or 5 days
- Prevents ovulation
Levonorgestrel
- Progesterone
- Prevents ovulation
- Can take again if vomits within 2 hours
- Works up to 72h or 3 days
Copper IUS
- Works up to 120h or 5 days
- Kills sperm
- THIS IS THE BEST ONE, less than 1% will become pregnant
What is in the DEPO?
How does the DEPO work?
What are some of the problems with it?
Medroxyprogesterone acetate
Prevents ovulation
Problems:
- Bone mineral density
- Weight gain
- Depression (maybe)
How does the mirena work?
What is in it?
How much hormone does it release in 24h?
Any contrindications?
Levonorgestrel
It increases cervical mucous and htins endometrium. It does not always prevent ovulation.
20mcg of levonorgestrel
Contraindications:
Active PID
Unexplained vaginal bleeding
Implant - what is in it?
How long is it in for?
Side effects?
How much hormone?
Levonorgestrel
3 years
Main SE: irregular bleeding
Contraindications: active liver disease, pevious or current VTE
Releases 20mcg of hormone per day
The best contraception we have!
