Contraception Flashcards
Pill rules
Guidelines
Fraser-Gillick competence
Pill and surgery, when do you stop the pill?
4weeks before surgery
Risk of VTE
Cocp contraindicated in who?
Absolute vs relative
VTE Stroke Smoking (15cigs and over 35 years old) Migraines with aura Cancer - brca Obesity
Action of COCP?
Inhibits ovulation (no spikes)
COCP reduces the risk of which cancer?
Uterine, ovarian and bowel
POP action?
Thick cervical mucus
IUS - minera coil, problems?
Loss it inside/ fall out
PID increased up the string
Infection
IUS for how long?
5 years
IDU (copper) how long does it last?
5-10years
Action of copper IUD?
Copper ions are spermicidal
Problems with copper IUD?
PerforAtion,
Bleeding
Sti up string
What are the options for emergency ?
Ella1 - 30mg ulipristal acetate - 5 days - can only use once in cycle
Levonelle- 1500mcg Levonorgestrel -72hours after sex - can be used mor than once per cycle
IUD copper - 380mm copper- 5 days after sex or 5 days after ovulation
What is in the contraceptive injection?
Medroxyprogestrone acetate
What does the cocp contain?
Ethinylestradiol and semi-synthetic progesterone
What are the stages of the UKMEC score?
1- no restriction
2- advantages outweighs disadvantages
3- theoretical risk outweighs advantages
4- unacceptable risk