Contraception Flashcards

1
Q

Which hormones are in the IUS?

A

Progesterone

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2
Q

Which hormones are in the patch?

A

Oestrogen and progesterone

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3
Q

Which hormones are in the injection?

A

Progesterone

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4
Q

Which hormones are in the vaginal ring?

A

Oestrogen and progesterone

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5
Q

Which hormones are in the implant?

A

Progesterone

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6
Q

Examples of progesterone only pill?

A

Cerazette, Mircette, Aygestin

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7
Q

Examples of the combined contraceptive pill?

A

Microgynon, Rigevidon, Yasmin, Marvelon, Cilest, Glaira

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8
Q

Which contraceptives cause more regular, lighter and less painful periods?

A

CCP, patch, vaginal ring

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9
Q

Which contraceptives cause heavier, prolonged bleeding?

A

IUD

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10
Q

Which contraceptive cause irregular bleeding, amenorrhea or more frequent bleeding

A

POP, implant, injection

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11
Q

Which contraception increases CVD risk and osteopenia/osteoporosis?

A

Injection

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12
Q

Which contraceptives don’t inhibit ovulation, and how do they work?

A

IUD- spermicide, uterine inflammation

IUS- affect implantation

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13
Q

Risks of CCP?

A

Venous and arterial thrombosis
Hypertension
Breast cancer
Cervical cancer

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14
Q

How to start CCP?

A

First 5 days of cycle
OR
Anytime + 7 days condom

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15
Q

What benefits can CCP have?

A

Improve acne/hirsutism (cyproterone acetate)

Protective against ovarian/endometrial cancer

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16
Q

How long does the implant last?

A

3 years

17
Q

Which contraceptives cannot be ‘quick started’?

A

IUD

Pills with cyproterone acetate

18
Q

Which 3 scenarios need emergency contraception?

A

No protection used
Contraception not used properly
Before new method has chance to become effective

19
Q

First line emergency contraceptive?

A

IUD

20
Q

When can IUD be used until as emergency contraceptive?

A

120 hours (5 days) after unprotected sex, or after expected ovulation

21
Q

How do the oral emergency contraceptives work?

A

Delay ovulation (no effect after ovulation)

22
Q

Describe the use of Levonelle (LNG- levonorgestrel) and mode of action

A

Up to 72 hours
High dose progestogen
Works before LH surge

23
Q

Describe the use of ellaOne (UPA- ulipristal acetate) and mode of action

A

Up to 120 hours
Anti-progestogen
Works until after start of LH surge
NOT IN SEVERE ASTHMA

24
Q

When do you double dose of Levonelle (LNG- levonorgestrel)?

A

If >70kg or >26 BMI

25
Q

When can’t you use UPA- ulipristal acetate?

A

If other hormonal contraceptive was used in last 7 days