Contraception Flashcards
Which hormones are in the IUS?
Progesterone
Which hormones are in the patch?
Oestrogen and progesterone
Which hormones are in the injection?
Progesterone
Which hormones are in the vaginal ring?
Oestrogen and progesterone
Which hormones are in the implant?
Progesterone
Examples of progesterone only pill?
Cerazette, Mircette, Aygestin
Examples of the combined contraceptive pill?
Microgynon, Rigevidon, Yasmin, Marvelon, Cilest, Glaira
Which contraceptives cause more regular, lighter and less painful periods?
CCP, patch, vaginal ring
Which contraceptives cause heavier, prolonged bleeding?
IUD
Which contraceptive cause irregular bleeding, amenorrhea or more frequent bleeding
POP, implant, injection
Which contraception increases CVD risk and osteopenia/osteoporosis?
Injection
Which contraceptives don’t inhibit ovulation, and how do they work?
IUD- spermicide, uterine inflammation
IUS- affect implantation
Risks of CCP?
Venous and arterial thrombosis
Hypertension
Breast cancer
Cervical cancer
How to start CCP?
First 5 days of cycle
OR
Anytime + 7 days condom
What benefits can CCP have?
Improve acne/hirsutism (cyproterone acetate)
Protective against ovarian/endometrial cancer
How long does the implant last?
3 years
Which contraceptives cannot be ‘quick started’?
IUD
Pills with cyproterone acetate
Which 3 scenarios need emergency contraception?
No protection used
Contraception not used properly
Before new method has chance to become effective
First line emergency contraceptive?
IUD
When can IUD be used until as emergency contraceptive?
120 hours (5 days) after unprotected sex, or after expected ovulation
How do the oral emergency contraceptives work?
Delay ovulation (no effect after ovulation)
Describe the use of Levonelle (LNG- levonorgestrel) and mode of action
Up to 72 hours
High dose progestogen
Works before LH surge
Describe the use of ellaOne (UPA- ulipristal acetate) and mode of action
Up to 120 hours
Anti-progestogen
Works until after start of LH surge
NOT IN SEVERE ASTHMA
When do you double dose of Levonelle (LNG- levonorgestrel)?
If >70kg or >26 BMI
When can’t you use UPA- ulipristal acetate?
If other hormonal contraceptive was used in last 7 days
