Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

O&G - C.U > Contraception > Flashcards

Contraception Flashcards

1
Q

Mechanism of action of COCP

A

Stops ovulation and increase cervical mucus production.

Thins the endothelial lining too.

Can regulate periods and improve achne

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How to take the COCP

A

Every day for 3 weeks
Then one week off
ideally start on day on cycle or use condom for first 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Advice over missed COCP

A

Use the advice on the packaging
More than one, would say not covered and use barrier contraception
Take around the same time every day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

SE of COCP

A 
Headaches
Nausea 
Mood changes 
Breast tenderness
These often resolve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Contrindications to COCP

A

Migraine with aura
VTE hx
Smoke 35+
Breast feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Action of progesterone only pill

A

Increases thickness of cervical mucus and thins endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How to take progesterone only pill

A

Take same time each day
Every day
Ideally start on day 1 of cycle or use barrier for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Missed progesterone pill

A

Take straight away
>3 hrs use condom for 2 days

Consider emergency contraception of had sex 2-3 days before or after missed pill

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does progesterone pill do to periods?

A

Can make lighter or even stop them.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SE of progesterone only pill

A

Mood swings
Acne
Headache
Tender breasts

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Contraindications to progesterone only pill

A

Breast cancer
Undiagnosed PV bleed
Liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Mechanism of action of progesterone depo injection

A

Stops ovulation
Increased cervical mucus / thickens mucus
Thins endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How often is the depo injection given

A

every 3 m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hormonal SE for progesterone injection

A 
Mood swings
weight gain 
acne 
headache 
tender breasts 
periods can be irregular
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

contraindications for progesterone injection

A

cancer
liver disease
undiagnosed PV bleed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How long can it take for fertility to return after progesterone injection stopped ?

A

18m

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Progesterone implant MOA

A

Stops ovulation

increased cervical mucus

thins endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How is the implant put in?

A

inserted under the skin
local anaesthetic

bleeding / bruising / infection / scarring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

SE of progesterone implant

A 
mood swings 
weight gain 
acne 
headache 
tender breasts
20
Q

red flag after implant put in

A

red and sore arm
discharge
systemically unwell

21
Q

Mirena coil mechanism of action

A

progesterone

stops ovulation

increase cervical mucus

thins endothelium

22
Q

what needs to be checked before coil put in ?

A

STI check

23
Q

When are they covered by the coil straight away?

A

first 7 days of cycle

if not - condom for first 7 days

24
Q

How long does the mirena coil last for

A

3 - 5 years

25
Q

what happens to periods on mirena coil

A

lighter
shorter
less painful

often get irregular bleeding or spotting

26
Q

how often check strings with the coil?

A

every 4 weeks

27
Q

red flags after coil insertion?

A

severe pain
smelly discharge
high temp

28
Q

Contraindications to the coil

A 
PID <3m ago 
STI 
gynae cancer 
small uterine cavity 
undiagnosed PV bleed
29
Q

mechanism of action of the copper coil

A

spemicide

and alters cervical mucus

30
Q

when does the copper coil start working?

A

straight away

31
Q

how long can the copper coil work for?

A

10 years

32
Q

coil impact on periods

A

can make heavier or more painful

33
Q

up to how long after sex can the levongestrel pill be used?

A

72 hrs

34
Q

up to how long after ellaone pill after sex?

A

120 hrs

35
Q

when cannot use ellaone if ?

A

previously used in a cycle

36
Q

impact of ellaone on starting contraception

A

may reduce efficacy

37
Q

emergency contraception q.

A 
Sexual history – when? Who? Check consensual, is it a regular partner 
Current contraception 
Type 
Reason for failure 
Why they need emergency contraception  
LMP 
Cycle length  
Current day of cycle  
PMH: HTN, migraine with aura  
FH: VTE, stroke, migraine with aura  
SH: smoking, drinking  
Any possibility they could already be pregnant/ used emergency contraception in this cycle 
Symptoms of STI – vaginal discharge, bleeding, warts  
Smears up to date  
Future contraception options 
Risk of STIs  
Advice to take pregnancy test in 3 weeks 
Safety net for ectopic  
PMH

MEDICATION

38
Q

If start pill on day one of cycle -

If not….

A

Don’t need barrier contraception

Need BC for 7 days

39
Q

medication in ellaone

A

ulliprestel

40
Q

copper coil mechanism of action in emergency

A

prevents implantation

41
Q

up to how long after sex can copper coil be put in?

A

5 days

42
Q

which emergency contraception not affected by hormonal contraception

A

levongestrel and copper coil

43
Q

how long do eggs last?

A

one day

44
Q

how long do sperm last?

A

5 days

45
Q

Which medication reduces efficacy of ellaone

A

PPI and ranitidine

46
Q

Within what time frame, if they vomit should they take the emergency pill?

A

2 hrs

O&G - C.U (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions