Contraception Flashcards
1 missed COCP
take missed now, continue as normal
2 or more missed COCP in week 1
take last missed now,
Emergency contraception if had sex in week 1 or during pill break
2 or more missed COCP in week 2
take last missed pill now
Continue pack as normal
2 or more missed COCP in week 3
take last missed pill now
Finish pack
Omit pill break
Woman taking antiepileptics other than lamotrigine
COCP and POP are UKMEC3
Depo-provera, IUD and IUS are UKMEC 1
Woman taking lamotrigine
COCP is UKMEC3
POP, implant, Depo-Provera, IUD, IUS are UKMEC 1
over 35 and smoking more than 15
UKMEC4 for COCP
offer POP or IUS
migraine with aura
UKMEC4 for COCP
Implant (Nexplanon) contraindications
Current breast cancer UKMEC4
UKMEC3: past breast cancer, ischaemic heart disease, liver disease, antiphospholipid antibodies
POP contraindications
UKMEC4: pregnacy, breast cancer in last 5 yrs
UKMEC3: liver disease, enzyme inducers, breast cancer over 5 yrs ago, undiagnosed vaginal bleeding
history of thromboembolic disease
UKMEC4 for COCP
3 for implant
breastfeeding
UKMEC4 for COCP
major surgery with prolonged immobilisation
UKMEC4 for COCP
more than 35 years old and smoking less than 15 cigarettes/day
UKMEC3 for COCP
BMI > 35 kg/m^2*
UKMEC3 for COCP