Contraception Flashcards
What are the 3 emergency contraceptions?
IUD (copper coil)
levonestrogel
ella one
What are some risks of the IUD?
ectopic pregnancies expulsion dysmennorhoea menorrhagia cervical shock PID
How can you reduce the risk of PID in IUDs?
screen for STIs
if using as emergency contraception - give azithromycin just in case
How does the IUD work?
inhibits ovulation
What can IUDs do to your period?
heavier
more painful
How long does the IUD work?
5-10 years
When is the IUD effective post insertion?
immediately
When can the IUD be used as emergency contraception?
5 days post UPSI
>5 days if <5 days post ovulation
What are the names of the 2 IUSs? How long do they last?
Mirena - 5 years
Jaydess - 3 years
What can IUSs do to your period?
lighter
less painful
What hormone is the IUS?
progesterone
What side effects can you get in progesterone contraception?
acne weight gain, bloating bleeding hirsutism tender breasts decreased sex drive mood swings
When should the IUS be inserted?
day 1-5 of cycle
How long should condoms be used for if the IUS isn’t inserted on days 1-5 of cycle?
7 days
How long does the depo injection last? How often is it given?
lasts 14 weeks
given 12 weekly
When shouldn’t you give the depo injection?
> 50 years - osteoporosis risk
30+, haven’t completed family
What is the main side effect of depo injection?
weight gain
What hormone is the depo injection?
progesterone
What hormone is the implant?
progesterone
What is the most common side effect of the implant?
irregular bleeding
How long does the implant last?
3 years
When, ideally, should the implant be inserted?
Day 1-5 (if not, use condoms for 7 days)
What happens if you miss a pill - progesterone only?
take asap
only protected for 3 hours after you usually take the pill
use condoms for 48 hours
What happens if the POP isn’t started on days 1-5 of cycle?
use condoms for 2 days
What are some contraindications for the POP?
breast cancer liver disease trophoblastic disease e.g. previous molar pregnancies SLE coeliac/malabsoprtion
When should you stop the POP?
if they develop new migraine with aura
What cancers is the COCP protective against?
ovarian
endometrial
colorectal
What cancers does the COCP increase risk of?
breast
cervical
What are the contraindications for the COCP?
>35 years and 15 cigs a day VTE history of CVD migraine with aura uncontrolled hypertension breastfeeding and <6weeks post partum
What do you do if taking the COCP and are going to get surgery?
stop taking 4 weeks before surgery
can start again 2 weeks post surgery
What are some side effects of the COCP?
headache N and V high blood pressure weight gain bloating fibroids decreased sex drive tender breasts
