Contraception Flashcards
Action of COCP
Thickens mucous, stops ovulation
Pros of COCP
lighter bleeding, reduces acne
reduces risk of ovarian, colon and uterine ca
Cons of COCP
Nausea, breast tenderness, spotting
Fertility of COCP
Returns when stopped
CI of COCP
Migraine, HTN, DVT, Breast Ca, Age/BMI > 35
Ca risk of COCP
Breast, Cervical
How to take COCP and missed pill rule
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
Action of POP
Thickens mucous, stops ovulation, thins endometrium
Pros of POP
Can breast feed, lighter periods
Cons of POP
Needs to be taken at the same time every day, otherwise is less effective
Breast tenderness, acne, mood changes, disrupted bleeds
Fertility of POP
Returns when stopped
Ca risk of POP
Breast
CI of POP
Undiagnosed PVB, forgetfulness, stroke, liver cirrhosis
Missed pill rule for POP
If missed 1 pill, take when remembered + today’s pill
Action of the Mirena Coil (IUS)
Thickens mucous, stops ovulation, thins endometrium
Pros of Mirena
Immediate protection, lighter periods, can breast feed
How long does Mirena last
5 years
Cons of Mirena
Altered bleeds, cramps, discharge, breast tenderness, acne, ectopics
Fertility of Mirena
Returns within 4-6 months
Ca risk of Mirena
None
CI of Mirena
Preg, undiagnosed PVB, cervical ca
Action of Copper coil (IUD)
Spermicide, IU inflammation (non-hormonal)
Pros of Copper coil
can breast feed, non-hormonal, longest effect
Cons of Copper coil
Heavy periods, ectopic preg
Fertility of Copper coil
Returns when removed
Ca risk of copper coil
none
CI of copper coil
pregnancy, undiagnosed PVB, cervical ca, copper allergy
How long does copper coil last
5-10 years
Action of IM (Depoprovera)
thickens mucous, thins endometrium, stops ovulation
Pros of IM
No pills, can breastfeed, longer effect
How long does IM last
3 months
Cons of IM
Altered bleeding, weight gain, reduced bone density
Fertility of IM
Delayed for 18 months
Ca risk of IM
None
CI of IM
Pregnancy, undiagnosed PVB
Action of Implant
thickens mucous, thins endometrium, stops ovulation
Pros of Implant
No pills, longer effect
Cons of implant
headaches, weight gain, breast tenderness, mood swings
Fertility of Implant
Returns when removed
How long does Implant last
3 years
Ca risk of implant
none
CI of implant
HTN, DVT, breast ca, age/bmi > 35, migraine with aura
Hormones in each method
COCP - oe and p, POP - Prog, Mirena - prog, copper - none, IM - prog, Implant - oe
Strings
Mirena and copper coil checked every month
Implant additional info
LA, incision, applicator
Levonorgestrel
Within 72 hours of last sexual intercourse
More effective quicker you take it
preg test before pill
next period may not be regular
Copper coil - emergency contraception
up to 5 days, more effective, lasts for 5-10 years
