contraception Flashcards

Question

IUS - SEs + complications

Answer 1

irregular bleeding initial frequent light bleeding later - intermittent light menses, poss amenorrhoea

Answer 2

levonorgestrel/ulipristal - inhibit ovulation | IUD - toxic to sperm + ovum, inhibits implantation

Answer 3

STI test 2 + 12 weeks after UPSI long acting poss better in case forgetful implant best - injection poss not good for BMD + IUD/D = UKMEC2 < 20y

Answer 4

84% effective repeat if vomit in 2h SEs rare - occasional disturbance of menses, 1% vomit

Answer 5

inhibits ovulation poss reduces efficacy of hormonal contraception - re/start 5d after + use condoms in between don't breastfeed for a week

Answer 6

99% effective ~inhibits fertilisation / implantation in 5d. if > 5d, can give up to 5d after ovulation date. ~prophylactic abx if ++risk STI if not wanted long term then keep til next period

Answer 7

if inserted after day 5 - condoms for a week

Answer 8

``` irregular / heavy periods progestogen effects: headache nausea breast pain ```

Answer 9

UKMEC 2 - initiation if IHD/stroke UKMEC 3 - continuation if IHD/stroke, suspicous vaginal bleeding, hx BC, liver problems UKMEC 4 - current BC

Answer 10

IM into bottom

Answer 11

irreversible can take 1y to return to fertility irregular bleeding weight gain ~osteoporosis

Answer 12

12wk but next dose can be given at 14wk without need for condoms

Answer 13

immediately

Answer 14

2/1000 perforation small increased risk of PID in first 20 days expulsion risk 1 in 20

Answer 15

day 21 | emergency cc not needed before this

Answer 16

can start whenever use condoms 2d after d21 fine to breastfeed

Answer 17

if start d21 - works immediately if start >d21 - condoms 1wk UKMEC4 - <6wk pp + breastfeeding (UKMEC2 - 6wk-6mo) may ↓ milk

Answer 18

day 1-5 - no condoms needed | day 6+ - condoms 2 days

Answer 19

<3h - fine >3h - take asap, condoms 2 days same apply for D+V 12h not 3 if cerazette (deogestrel)

Answer 20

``` UPSI - who, when, consensual Cc - why failed Menses - LMP, cycle length Pregnancy - any chance (as ecc CI)? had ecc this cycle? STI - symptoms Smears ``` ``` ROFS Reasons - why wanted, impact of baby Options Future cc - can start asap but condoms 14d STI risk - advise test ``` ice, leaflet, return in 3w for preg test

Answer 21

72h levonorgestrel inhibits ovulation + disrupts implantation 1d 95%, 2d 85%, 3d 58% SEs - N, V (3h - repeat + domperidone OR IUD), breast pain, bleed (now, later, period), headache, breast/pelvic pain CI - less effective if enzyme drugs extra - abstain till bleed/7d COCP/2d POP/ideal 2w. if period >1w late/light/concerned - preg test 3wk post pill

Answer 22

5d ulipristal acetate inhibits ovulation + thins endometrium 98% CI - <18y, already used this cycle, asthma/liver disease ++, less effective if enzyme drugs SEs - N, V (3h - repeat + domperidone OR IUD), bleed (now, later, period), headache, breast/pelvic pain extra - abstain till bleed/7d COCP, 2d POP, ideal 2w. period >1w late/light/concerned - preg test in 3w

Answer 23

5d prevents fertilisation 99% SEs - dysmenorrhoea/menorrhagia, pain on insertion (ibuprof), infection, 1/1000 perf, 1/10 - vasovagal, 5% expulsion CIs - pelvic infection, PID in last 3mo, copper allergy extra info - can remove in 4w. check up in 6w

Answer 24

person, periods, STI, health + baby ``` PPBC partner - who, age periods - regularity, pain, heavy, length breastfeeding + pregnancy contraception hx ``` PMH - BP, BMI, STIs, VTE/stroke/MI DH - allergies FH - ov/br ca, VTE, migraine + aura SH - smoke describe a type: ICE + preference - memory, reversibility mode, course, +ves and -ves extras: OCP - review 3mo. no protection STIs