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Repro > Contraception > Flashcards

Contraception Flashcards

1
Q

When fertile, how much does body temp increase by?

A

> 0.2 degrees

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2
Q

Post ovulation, what is cervical mucous like?

A

Thick and sticky

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3
Q

Barrier methods of contraception?

A

Condoms
Femidom
Diaphragm
Spermicide

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4
Q

What 3 criteria are needed for lactational amenorrhea method of contraception?

A

Exclusively breast feeding
Less than 6 months post natal
Amenorrhoeic

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5
Q

What is IUD?

A

Intrauterine device

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6
Q

What is an intrauterine device and how does it work?

A

Copper coil

Copper changes the competitions in uterus in inhibit fertilisation, implantation and sperm penetration of the uterus

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7
Q

Affect of IUD on bleeding?

A

Can cause menorrhagia and dysmenorrhea

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8
Q

Contraindication against IUD?

A

Pelvic infection

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9
Q

What is IUS?

A

Intrauterine system

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10
Q

Types of IUS?

A

Mirena

Jaydess

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11
Q

Difference between marina and Jaydess?

A

Mirena has higher dose of progestogen and lasts five years instead of three

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12
Q

What hormone does IUS release?

A

Progestogen

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13
Q

Affect of IUS on periods?

A

Makes them lighter and less painful

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14
Q

Contraindication of IUS?

A

Pelvic infection

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15
Q

How does the implant work?

A

Inhibits ovulation

Thickens cervical mucous

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16
Q

Where does the implant go?

A

Subdermally in the upper arm

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17
Q

How long does the implant last for?

A

3 years

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18
Q

How does the depo injection work?

A

Inhibits ovulation

Thickens cervical mucous

19
Q

Weight gain with implant?

A

About 2 kg

20
Q

Affect on ovulation after stopping injection?

A

May be a delay in ovulation - about 10months

21
Q

How often do you get the depo injection?

A

12 / 8 weeks depending on which one

22
Q

How do you take the progestogen only pill (POP)?

A

Taken same time every day, no break between packs

23
Q

Hormone released by POP?

A

Progestogen

24
Q

What available time window is there when taking POP?

A

12 hours for new

3 hours for old

25
Q

How hormone does vaginal ring release?

A

Flexible ring releasing oestrogen and progestogen

26
Q

How does vaginal ring work?

A

Inhibits ovulation and get withdrawal bleed

27
Q

How do you use the vaginal ring?

A

Inset on day 1 and leave for 3 weeks.

Remove on day 22 for a 7 day interval

28
Q

What is the contraceptive patch?

A

Transdermal patch releasing oestrogen and progestogen

29
Q

What may affect the efficacy of the contraceptive patch?

A

If > 90kg

30
Q

How does patch work?

A

Inhibits ovulation

31
Q

How do you use the contraceptive patch?

A

Apply patch on day 1, change on days 8 and 15 and remove on day 22 for a 7 day break

32
Q

What does the combined oral contraceptive pill contain?

A

Oestrogen and progestogen which inhibit ovulation and then get a withdrawal bleed

33
Q

When is COC contraindicated?

A

Migraine with aura

34
Q

How do you take the COC?

A

Take for 21 days and then take a 7 day break

35
Q

Benefits of CHC?

A

Decreased menorrhagia/ dysmenorrhea
Decreased risk of ovarian, endometrial and bowel cancer
Decreased menopausal symptoms

36
Q

What do you do if you miss the pill?

A

If less than 24 hours, take the pill now and the next one at the usual time
If miss 2 pills of the first 7 days, use emergency contraception of unprotected sex since end of last pack

37
Q

Short term oestrogenic side effects of of CHC?

A 
Breast tenderness
Nausea
Cyclical weight gain
Bloating
Vaginal discharge
38
Q

Progestogenic side effects of CHC?

A 
Mood swings 
PMT
Vaginal dryness
Sustained weight gain
Acne
Decreased libido
39
Q

Risks with use of CHC?

A

Venous disease
Arterial disease
Breast and cervical cancer - but this decreases after 10 years of stopping

40
Q

Problem with sterilization?

A

Permanent and irreversible

41
Q

What happens if pregnancy with female sterilisation?

A

Increased risk of ectopic

42
Q

Complications and risks of vasectomy?

A

Bruising and haematoma

Chronic testicular pain

43
Q

What does a Vasectomy do?

A

Vas deferens are ligature and excised or men cauterised

44
Q

How is female sterilisation carried out?

A

Filshie clip occlusion with anaesthetic

Repro (39 decks)

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