Contraception Flashcards
What is LARC
Long acting reversible contraception
methods that require administration less than once per cycle/month
what are the categories for the UK MEC guidelines
1 = fine 2 = benefits > risks 3 = risks > benefits 4 = AVOID
what are non-contraceptive indications for LARC/contraception treatment
acne hirsutism menorrhagia dysmenorrhoea endometriosis ovarian cysts PMS anovulatory cycles
examples of LARC
Copper IUD
mirena coil IUS (progestogen only)
depo provera injections (progestogen only)
nexplanon implant (progestogen only)
when does the copper IUD become effective
immediately
which hormones are involved in copper IUD
none
How does the progestogen only Mirena coil IUS work
thins endometrium and thickens cervical mucus to prevent implantation
when does the mirena IUS become effective
7 days
where is the nexplanon implant inserted
SC implant over triceps
LARC protects against STIs, true or false
FALSE
what is combined hormonal contraception
contains oestrogen and progestogen
examples of combined hormonal contraception
pill
patch
vaginal ring
when does the OCP become effective
immediately if taken within 1st 5 days of bleeding
if taken any time in the cycle, works after 7 days
what can decrease effectiveness of the OCP
IBD
anti-epileptic drugs that are enzyme inducers
non-compliance
what are some side effects/risks of CHC
VTE, PE arterial disease: stroke, MI raised blood pressure breast cancer cervical cancer
what are absolute contraindications to CHC
migraine WITH aura
breast cancer
give examples of progestogen only contraceptives
pill
implant
injections
IUS
Progestogen only pills have the same risks as CHC pills, true or false
false
no risk of stroke, high blood pressure
how do you take the POP
1 pill taken every single day with no break
how often do you administer the depo provera injections
every 3 months
what are condoms good for
preventing STIs
what should be added to a diaphragm before use
and what are the timings (6, 3?)
spermicide
needs to left in 6 hours post sex
if no sex in 3 hours, needs to be reapplied
what are the sterilisation procedures available for men and women
men - vasectomy
women - tubal ligation
examples of emergency contraceptives
copper IUD
ulipristal (ellaOne)
levonogesterel
when can levonogesterel be used
up to 72 hours post UPSI
when can ulipristal be used
up to 120 hours post UPSI
ulipristal/levonogesterel is less effective if woman is already taking contraception
ulipristal is less effective
