Contraception Flashcards

0
Q

What is the failure rate of IUD and IUS?

A

IUD 0.6
IUS 0.2
Basically less that 1 % over the time period

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1
Q

What hormones are in the IUS?

A

Progesterone

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2
Q

How long can IUD be left in for?

A

5-10 years

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3
Q

How does IUD prevent pregnancy?

A

Copper ions are toxic to sperm and ova

Produces jnflammatory conditions in uterus

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4
Q

What is the risk of expulsion of IUD/IUS?

What can be done to minimise this producing pregnancy?

A

1:20

Check threads after every period or once a week?

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5
Q

When during the me natural cycle should an IUD be fitted?

When is it effective from?

A

During the first 14 days

Effective from insertion

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6
Q

What is the rate of ectopic per pregnancy with an IUD?

A

1 in 20 pregnancies

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7
Q

What is the rate of ectopic with IUD in women years

A

0.2 per 100 women years

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8
Q

What is a “woman year”

A

A year in the life of a sexually active woman or reproductive age

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9
Q

What is the risk of ectopic in general population?

A

1%

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10
Q

For how long is the risk of infection higher post IUD insertion?

A

3 weeks

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11
Q

How many days after fertilisation doe implantation occur?

A

6-12 days

NOT SOONER THAN 5

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12
Q

How many days after unprotected sex or ovulation can an IUD be fitted?

A

5 days post insertion

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13
Q

What drug doe Ella 1 contain?

What category is this drug?

A

Ulipristal acetate

Selective progesterone receptor modulator

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14
Q

What drug is in levonelle?

A

Levonorgestrel

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15
Q

What drugs may levonelle or ella1 interact with?

A

Enzyme inducers

16
Q

How quickly after taking levonelle/ Ella 1 does a person have to vomit to require another dose?

A

2 hours after levonelle

3 hours after Ella 1

17
Q

After taking hormonal emergency contraception what will happen to periods?

A

Next period may be delayed
May get some bleeding before then

Can take a pregancy test if concerned

18
Q

What three criteria does a woman need for breast feeding to be an effective contraception?

A
  • amenhorreic
  • exclusively breast feed
  • less than 6 months after baby
19
Q

How long after a vasectomy do you need to wait for it to be reliable?

A

Around 2 months until they have two clear samples of semen

20
Q

What’s the difference between a diaphragm and a cap?

A

Cap just covers cervix/ diaphragm also covers the anterior wall

21
Q

What is another term for levongesteral releasing IUS?

A

Mirena coil