Contraception Flashcards

1
Q

Action of COCP

A

Thickens mucous, stops ovulation

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2
Q

Pros of COCP

A

lighter bleeding, reduces acne

reduces risk of ovarian, colon and uterine ca

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3
Q

Cons of COCP

A

Nausea, breast tenderness, spotting

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4
Q

Fertility of COCP

A

Returns when stopped

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5
Q

CI of COCP

A

Migraine, HTN, DVT, Breast Ca, Age/BMI > 35

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6
Q

Ca risk of COCP

A

Breast, Cervical

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7
Q

How to take COCP and missed pill rule

A

Taken for 3 weeks, and then withdrawal bleed for 1 week
If missed 1 pill, take 2 next day
if missed 2 pills, take 2 soon as you remember, condoms for 7 days

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8
Q

Action of POP

A

Thickens mucous, stops ovulation, thins endometrium

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9
Q

Pros of POP

A

Can breast feed, lighter periods

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10
Q

Cons of POP

A

Needs to be taken at the same time every day, otherwise is less effective
Breast tenderness, acne, mood changes, disrupted bleeds

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11
Q

Fertility of POP

A

Returns when stopped

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12
Q

Ca risk of POP

A

Breast

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13
Q

CI of POP

A

Undiagnosed PVB, forgetfulness, stroke, liver cirrhosis

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14
Q

Missed pill rule for POP

A

If missed 1 pill, take when remembered + today’s pill

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15
Q

Action of the Mirena Coil (IUS)

A

Thickens mucous, stops ovulation, thins endometrium

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16
Q

Pros of Mirena

A

Immediate protection, lighter periods, can breast feed

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17
Q

How long does Mirena last

A

5 years

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18
Q

Cons of Mirena

A

Altered bleeds, cramps, discharge, breast tenderness, acne, ectopics

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19
Q

Fertility of Mirena

A

Returns within 4-6 months

20
Q

Ca risk of Mirena

A

None

21
Q

CI of Mirena

A

Preg, undiagnosed PVB, cervical ca

22
Q

Action of Copper coil (IUD)

A

Spermicide, IU inflammation (non-hormonal)

23
Q

Pros of Copper coil

A

can breast feed, non-hormonal, longest effect

24
Q

Cons of Copper coil

A

Heavy periods, ectopic preg

25
Q

Fertility of Copper coil

A

Returns when removed

26
Q

Ca risk of copper coil

A

none

27
Q

CI of copper coil

A

pregnancy, undiagnosed PVB, cervical ca, copper allergy

28
Q

How long does copper coil last

A

5-10 years

29
Q

Action of IM (Depoprovera)

A

thickens mucous, thins endometrium, stops ovulation

30
Q

Pros of IM

A

No pills, can breastfeed, longer effect

31
Q

How long does IM last

A

3 months

32
Q

Cons of IM

A

Altered bleeding, weight gain, reduced bone density

33
Q

Fertility of IM

A

Delayed for 18 months

34
Q

Ca risk of IM

A

None

35
Q

CI of IM

A

Pregnancy, undiagnosed PVB

36
Q

Action of Implant

A

thickens mucous, thins endometrium, stops ovulation

37
Q

Pros of Implant

A

No pills, longer effect

38
Q

Cons of implant

A

headaches, weight gain, breast tenderness, mood swings

39
Q

Fertility of Implant

A

Returns when removed

40
Q

How long does Implant last

A

3 years

41
Q

Ca risk of implant

A

none

42
Q

CI of implant

A

HTN, DVT, breast ca, age/bmi > 35, migraine with aura

43
Q

Hormones in each method

A

COCP - oe and p, POP - Prog, Mirena - prog, copper - none, IM - prog, Implant - oe

44
Q

Strings

A

Mirena and copper coil checked every month

45
Q

Implant additional info

A

LA, incision, applicator

46
Q

Levonorgestrel

A

Within 72 hours of last sexual intercourse
More effective quicker you take it
preg test before pill
next period may not be regular

47
Q

Copper coil - emergency contraception

A

up to 5 days, more effective, lasts for 5-10 years