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Gynae > contraception > Flashcards

contraception Flashcards

(49 cards)

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1
Q

what are the fraser guidelines (gillick competence)

A
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2
Q

what are the fraser guidelines (gillick competence)

A
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3
Q

how do the contraceptives work- progestogen

A

further suppresses LH release, alters quality of cervical mucus, endometrial changes

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4
Q

how do the contraceptives work- progestogen

A

further suppresses LH release, alters quality of cervical mucus, endometrial changes

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5
Q

what are the 2 types of COC

A

monophasic and triphasic

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6
Q

what is monophasic COC

A

amount of oestrogen and progestogen the same in each tablet

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7
Q

what is triphasic COC

A

varying doses of both- less progestogen and more oestrogen

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8
Q

cautions COC

A

hyperprolactinaemia, BRCA gene carrier, venous and arterial risk factors

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9
Q

cautions COC

A

hyperprolactinaemia, BRCA gene carrier, venous and arterial risk factors

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10
Q

absolute CI to COC

A

migraine with aura, migraine without aura with >1 risk factor stroke, severe migraine or migraine >72h, migraine treated with ergot derivatives

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11
Q

drugs interfering with COC

A

liver enzyme inducers- anticonvulsants, st johns wort, rifampicin

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12
Q

benefits COC

A

menstrual disorders reduced, pelvic infection reduced, benign breast disease reduced, functional ovarian cysts endometriosis and fibroids reduced; endometrial and ovarian cancers reduced

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13
Q

disadvantages COC

A

arterial and venous disease, thromboprophylaxis if taking 4 weeks before surgery, incr risk cervical cancer

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14
Q

side effects COC

A

acne, breakthrough bleeding, headaches, mood changes, N&V, vaginal discharge, weight gain

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15
Q

what effect does progestogen only pill have

A

makes cervical mucus hostile to sperm

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16
Q

which oral contraceptive should be taken if breastfeeding

A

POP

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17
Q

what is the depot progestogen

A

the injection

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18
Q

CI injection

A

pregnancy, breast cancer, undiagnosed vaginal bleeding, liver/cardiac disease

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19
Q

CI injection

A

pregnancy, breast cancer, undiagnosed vaginal bleeding, liver/cardiac disease

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20
Q

advantages of the injection

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A

secret, no oestrogen content, ok if breastfeeding, protects against ectopics, fewer cysts, less endometriosis

21
Q

problems with the injection

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A

irregular menstrual bleeding

22
Q

what does the implant contain

Study These Flashcards
A

progesterone- ethonogestrel

23
Q

how long does the implant last

24
Q

function of the implant

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A

inhibit ovulation, thicken mucus

25
what do the patches contain
oestrogen and progesterone
26
side effects patches
breast discomfort and breakthrough bleeding
27
how does the vaginal ring work
soft ring containing oestrogen and progesterone fits in upper vagina around the cervix mimics COC
28
advantages of vaginal ring
under the womans control- can decide whether to have a withdrawal bleed. change every cycle
29
side effects vaginal ring
can be expelled from the vagina, irregular bleeding
30
how does the IUCD work
prevents implantation
31
advantages of the IUCD
highly effective. rapid return to fertility after its removal
32
advantages of the IUCD
highly effective. rapid return to fertility after its removal
33
problems with IUCDs
expelled by uterus if nulliparous/distorted uterus, heavy painful periods, infection and subfertility, during insertion can get perforation of the uterine wall
34
contraindications IUCD
pregnancy, current infection, ovarian cancer, endometrium or cervix, distorted uterine cavity, Hx ectopics, abnormal bleeding
35
what should you screen for before insertion IUCD
STDs or give prophylactic abs
36
if become pregnant on the IUCD what should be done
remove as can lead to miscarriage
37
if there are lost threads in IUCD what to do
ultrasound
38
if there is an infection on IUCD what to do
treat with device in place, if remove don't reinsert for 3 months
39
before removal IUCD what needs to happen
start alternative contraception
40
IUS what is the drug
levonorgestrel
41
what happens in vasectomy
ligate and excise vas deferens
42
what is there a risk of after vasectomy
chronic testicular pain
43
how long does it take for sperm stores to be used up after vasectomy
3 months
44
within what time frame can vasectomy be reversed
10 years
45
within what time frame can vasectomy be reversed
10 years
46
up to how long can you insert IUCD for emergency contraception
120 hours (5 days)
47
what pill is used as emergency contraception
levonorgestrel
48
within how many hours of unprotected sex can levonogestrel be given
72hours
49
if vomiting within 2 hours of taking emergency pill what should you do
take another immediately

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