Contraception Flashcards
Name the methods of contraception which prevent ovulation
COCP Desogestrel only pill Injectables Implants levonogestrel ullipristal
What methods of contraception thicken cervical mucous as their primary means of preventing pregnancy?
POP(except desogestrel)
The following also thicken cervical mucous but do it is not their primary method: injectables implants desogestrel IUS
How to the intrauterine device work?
By being toxic to sperm motility and survival.
it also inhibits implantation
How does the IUS work
prevents endometrial proliferation
When is smoking an absolute contraindication?
when smoking over 15 a day and in combination with an age of 35
Name 3 normal POPs
micronor
noriday
nogeston
femulen
What is the benefit of desogestrel
can take upto 12 hours out of usual time and has no effect on action.
How long should condoms be used for in POPs when a dose has been missed?
until pill has been taken for 48 hours.
At how many days do women require conctraception after childbirth?
21 days
POP can be started anytime (48hrs with barriers)
When does semen analysis need to be checked after a vasctomy
16 and 20 weeks
What are the complications of a vasectomy
bruising
haematoma
sperm granuloma
CHRONIC testicular pain in around 5-30%
all done laporoscopically under LA, it does not work immediately.
Does male or female sterilasation fail more
Women - 1 in 200
Men - 1in 2000
What are the comlications of a female sterilisation
main complications are those of a GA and the remaining rings and coils which remain.
increased risk of ectopic if the surgery fails.
What are the COCPs effects on cancer chances?
Increased risk in Breast and cervical
Decreased risk in ovarian and endometrial
also increases the risk of IHD and stroke
headaches nausea and breast tenderness are commmon
