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Obstetrics and Gynaecology > Contraception > Flashcards

Contraception Flashcards

1
Q

What is the failure rate for barrier methods?

A

10-15%

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2
Q

How does the COCP work?

A

Inhibits ovulation
Thickens cervical mucus
Inhibits implantation

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3
Q

What are the contraindictions for the COCP?

A 
Migraine with aura
BMI >35 
Smoker >35yrs 
VTE history 
Liver conditions
Breast feeding
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4
Q

What are the benefits of COCP?

A

Regular bleeds
Lighter bleeds
Improved PMS
Reduced risk of ovarian and endometrial cancer

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5
Q

What are some side effects of COCP?

A

Breakthrough bleeding
Weight gain
HBP
Headaches

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6
Q

How does the POP work?

A

Inhibits implantation

Thickens cervical mucus

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7
Q

What are the benefits of the POP?

A

useful in those who cant take the COCP

Can cause amenorrhoea

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8
Q

What is the downsides of the POP?

A

Can cause erratic bleeding

Need to be taken on time

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9
Q

What is the mechanism of the DepoProvera injection?

A

Inhibits ovulation
Thickens mucus
Inhibits implantation

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10
Q

What are the downsides of the DepoProvera injection?

A

Delayed return to fertility
weight gain
bleeding irregularities

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11
Q

How does the implant work?

A

It prevents ovulation

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12
Q

What is the downsides to the implant?

A

Delayed return to fertility

Irregular bleeding

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13
Q

What are the benefits of the implant?

A

Oligo/amenorrhoea

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14
Q

How does the COPPER IUD work?

A

Hostile environment for implantation

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15
Q

What are contraindictions for the copper IUD

A 
Copper allergy
Menorrhagia 
Acute PID
Uterine abnormalities 
Cervical/endometrial cancer
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16
Q

What are some problems with the copper IUD?

A

Heavy bleeding and dysmenorrhoea
Ectopic pregnancy
Perforation and expulsion
PID

17
Q

How does the MIRENA IUD work?

A

Prevents implantation

18
Q

What are the contraindications for the mirena IUD?

A

Cervial/endometrial cancer
Uterine abnormalities
Acute PID

19
Q

What are the risks of the MIRENA IUD?

A

Ectopic prednancy
Perforation and expulsion
PID

20
Q

What are the tablet options for emergency contaception?

A

Levonelle (levonorgestrel) within 3 days

EllaOne within 5 days

21
Q

How long can the IUD be fitted after sex for emergency contraception?

A

5 days after sex or 5 days after ovulation

Obstetrics and Gynaecology (7 decks)

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