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Gynaecology > Contraception > Flashcards

Contraception Flashcards

1
Q

How does the morning after pill levonorgestrol work?

A

inhibits ovulation

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2
Q

what is the only contraindication to the male condom

A

latex allergy

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3
Q

What is a contraindication to IUD?

A

PID

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4
Q

How does copper coil work?

A

creates environment toxic to sperm

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5
Q

which barrier contraception provides greatest protection against STIS?

A

Male condom

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6
Q

What is UK-MEC?

A

UK Medical Eligibility Criteria for Contraceptive Use
help decide which contraceptives are SAFE for patient
(category 1-4)

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7
Q

Category 1 UK-MEC = ?

A

no restriction

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8
Q

Category 2 UK-MEC = ?

A

benefits outweigh risks

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9
Q

Category 3 UK-MEC = ?

A

risks outweigh benefits

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10
Q

Category 4 UK-MEC = ?

A

UNACCEPTABLE HEALTH RISK if used!

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11
Q

Name some contraindications for combined hormonal contraception (cat 3/4 uk-mec)

A 
Migraine with aura
VTE
Hypertension
Ischaemic heart disease
Stroke
Breast cancer
Smoker >35 years
BMI>35
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12
Q

Migraines with aura are a contraindication for combined hormonal contraception. True or false?

A

true

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13
Q

Combined hormonal contraception can come in the form of a Pill (daily). Or what else?

A 
patch (weekly)
vaginal ring (monthly)
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14
Q

Name some oestrogenic side effects from combined hormonal contraception.

A

Breast tenderness
Nausea
Headaches
Vaginal discharge

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15
Q

Name some progestogenic side effects from combined hormonal contraception.

A

Acne
Hirsutism
Mood swings, low mood
Breakthrough bleeding

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16
Q

Name 3 names of COCP

A

Yasmin
Microgynon
Cilest

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17
Q

How do you take monophasic pills?

A

one a day for 21 ds then none for 7ds

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18
Q

Name a pill which is safest for VTE risk

A

microgynon (contains levornorgesterol)

19
Q

If you miss your pill, you can take it ____ hours later

A

72hrs.

20
Q

you forget to take your pill for more than 72hrs. What do you do?

A

use condoms for 7 days, assess need for emergency contraception

21
Q

Name a progesterone only pill.

A

Cerelle

22
Q

Dianette is a COCP but only used in what condition

A

PCOS

23
Q

What is main side effect of POP?

A

irregular bleeding

24
Q

What are LARCs?

A

long acting reversible contraceptives
administered less than once a month
>99% effective.
implant, injectables, coils

25
Q

What is main side effect of implant?

A

irregular bleeding

26
Q

What is implant example

A

Implanon (Etonorgestrel)

27
Q

How long does implant last?

A

3yrs

28
Q

What is injectable example

A

Depo-Provera

intra-muscular progesterone

29
Q

How long does Depo-Provera last

A

3 months (12wks)

30
Q

Which is the ONLY contraceptive method that has actually been proved to cause weight gain?

A

Depo-provera injection

31
Q

Which is the only method where they may be a delay back to fertility?

A

Depo-provera injection

may also reduce bone density

32
Q

Give me three risks of the coil

A

infection
perforation
ectopic pregnancy

33
Q

What does Mirena contain?

A

levonorgestrol

Mirena can be used as endometrial protection when oestr only HRT!

34
Q

How long does Mirena last

A

5yrs

35
Q

Which is the barrier method you use with spermicide?

A

diaphragm (96% effective)

36
Q

What is efficacy of female condom

A

95%

37
Q

Which is the least risky method of female sterilisation

A

hysteroscopic (outpt, safer than laparoscopy/otomy!) (fallopians clipped/blocked)

38
Q

What are the three options for emergency contraception?

A

copper coil
levonelle
ulipristal acetate

39
Q

How soon after unprotected sex must you get copper coil as emergency contraception?

A

5 days

40
Q

How many hours after unprotected sex can you use Levonelle? (levonorgestrel)

A

72hours (less effective with time)

41
Q

How many hours after unprotected sex can you use EllaOne? (ulipritsal acetate)

A

120hours (less effective with time)

42
Q

How do Levonelle and EllaOne work?

A

inhibit ovulation

ellaOne = ulipristal acetate
levonelle = levonorgestrel
43
Q

There’s a new quadriphasic pill, QLaira, when do you take it?

A

26days , 2 days placebo, have to take tablets in order cos they go along with cycle

44
Q

Which new coil lasts 3yrs and gives a bit less levonorgestrel

A

Jaydess.

Gynaecology (8 decks)

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