Contraception Flashcards

1
Q

1 missed COCP

A

take missed now, continue as normal

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2
Q

2 or more missed COCP in week 1

A

take last missed now,

Emergency contraception if had sex in week 1 or during pill break

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3
Q

2 or more missed COCP in week 2

A

take last missed pill now

Continue pack as normal

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4
Q

2 or more missed COCP in week 3

A

take last missed pill now
Finish pack
Omit pill break

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5
Q

Woman taking antiepileptics other than lamotrigine

A

COCP and POP are UKMEC3

Depo-provera, IUD and IUS are UKMEC 1

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6
Q

Woman taking lamotrigine

A

COCP is UKMEC3

POP, implant, Depo-Provera, IUD, IUS are UKMEC 1

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7
Q

over 35 and smoking more than 15

A

UKMEC4 for COCP

offer POP or IUS

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8
Q

migraine with aura

A

UKMEC4 for COCP

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9
Q

Implant (Nexplanon) contraindications

A

Current breast cancer UKMEC4

UKMEC3: past breast cancer, ischaemic heart disease, liver disease, antiphospholipid antibodies

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10
Q

POP contraindications

A

UKMEC4: pregnacy, breast cancer in last 5 yrs
UKMEC3: liver disease, enzyme inducers, breast cancer over 5 yrs ago, undiagnosed vaginal bleeding

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11
Q

history of thromboembolic disease

A

UKMEC4 for COCP

3 for implant

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12
Q

breastfeeding

A

UKMEC4 for COCP

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13
Q

major surgery with prolonged immobilisation

A

UKMEC4 for COCP

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14
Q

more than 35 years old and smoking less than 15 cigarettes/day

A

UKMEC3 for COCP

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15
Q

BMI > 35 kg/m^2*

A

UKMEC3 for COCP

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16
Q

migraine without aura and more than 35 years old

A

UKMEC3 for COCP

17
Q

family history of thromboembolic disease in first degree relatives

A

UKMEC3 for COCP

18
Q

controlled hypertension

A

UKMEC3 for COCP

19
Q

uncontrolled hypertension

A

UKMEC4 for COCP

20
Q

immobility e.g. wheel chair use

A

UKMEC3 for COCP

21
Q

breast feeding 6 weeks - 6 months postpartum

A

UKMEC3 for COCP

22
Q

UPSI

A

Levonorgestrel (Levonelle One) or Ulipristal acetate (ellaOne) or Cu-IUD

23
Q

UPSI

A

Ullipristal acetate (EllaOne) or Cu-IUD

24
Q

what is the preferred form of emergency contraception?

A

all women should be offered CU-IUD as it is the most effective and provides LARC.

25
Q

Which forms of contraception are unaffected by enzyme inducers?

A

Cu-IUD
IUS
Depo-Provera (assoc with weight gain)

26
Q

For how long does a woman not require contraception postpartum?

A

21 days.

If breastfeeding, offer additional contraception

If exclusively breastfeeding, women may rely on lactational amennorrhoea