Contraception Flashcards
which form of contraception prevents against STIs
barrier contraception e.g. condoms
give an example of an sti that barrier contraception can protect against
chlyamydia and gonorrhoea
what are the 2 forms of hormonal contraception
combined methods
progesterone only methods
how does the combined hormone contraception work?
- prevents ovulation and inhibits cervical mucus thickening
- prevents ovulation and increases cervical mucus thickening ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
- increases cervical mucus thickening and inhibits endometrial proliferation ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
What does the combined hormonal contraception contain
- oestrogen
- progesterone
- no oestrogen or progesterone
- both oestrogen and progesterone
- both oestrogen and progesterone
What does the progesterone hormonal contraception contain
- oestrogen only
- progesterone only
- no oestrogen or progesterone
- both oestrogen and progesterone
- progesterone only
how is the COCP taken
- take tablets consecutively for 14 days then stop for 14 days
- take tablets for 21 days then stop for 7 days
- take tablets for 7 days then stop for 21 days
- take tablets for 14 days the stop for 7 days
- take tablets for 21 days then stop for 7 days
what are the 2 types of COCP pills
monophasic pills
phasic pills
where can the transdermal patch (contraception) be placed? List 3 areas
arm
abdomen
buttock
back
how often does the transdermal patch (contraception) have to changed?
every 7 days for 3 weeks
then free for 7 days
how does the transdermal patch (contraception) work
- prevents ovulation and inhibits cervical mucus thickening
- prevents ovulation and increases cervical mucus thickening ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
- increases cervical mucus thickening and inhibits endometrial proliferation ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
what is the ultimate aim for contraception
prevent the implantation of a the oocyte
what type of contraception is the vaginal ring
- combined
- progesterone only
- combined
how often does the vaginal ring sit in the vagina for
21 days then removed for 7 and insert a new one
how does the contraceptive vaginal ring work
- prevents ovulation and inhibits cervical mucus thickening
- prevents ovulation and increases cervical mucus thickening ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
- increases cervical mucus thickening and inhibits endometrial proliferation ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
list 3 side effects of using the contraceptive vaginal ring
headaches
breast tenderness
mood changes
what are you at increased risk of developing with the contraceptive vaginal ring (list 3)
venous thromboembolism MI strokes breast and cervical cancer HTN
list 3 contraindications of the contraceptive vaginal ring
BMI >35 smoking >35 yrs HTN migraine prolonged immobility, surgery, disability FHx venous thromboembolism
list 2 forms of emergency contraception
intrauterine device
morning after pill
how does the morning after pill work
inhibits ovulation
how long does the morning after pill inhibit ovulation for
5-7days
how long after sex can the morning after pill be used
- 72 hrs
- 120 hrs
- 72 hrs
give an example of the morning after pill (name)
Levonorgrestel
give an example of a malabsorption disease the morning after pill wont work in
crohns
which contraception method is 99% effective
intrauterine device
how long after unprotected sex can the intrauterine device be inserted
- 7 days
- 3 days
- 5 days
- 1 day
- 5 days
how does the intrauterine device work
toxic to the sperm
inflammatory responce
what are women at increased risk of developing when on the intrauterine device
ectopic pregnancy
what symptoms would indicate ectopic pregnancy in a women with the intrauterine device
period >5 days late
reduced bleeding
severe lower abdo pain
how long can the intrauterine device remain in situ for
5-10 yrs
list 3 adverse effects of the intrauterine device
pelvic pain
bleeding
pelvic infections
where can the implant be inserted
upper arm
what type of contraception is the implant
- combined
- progesterone
- progesterone
how long can the implant remain in situ for
3 yrs
how does the implant work
- prevents ovulation and inhibits cervical mucus thickening
- prevents ovulation and increases cervical mucus thickening ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation
- increases cervical mucus thickening and inhibits endometrial proliferation ONLY
- prevents ovulation, increases cervical mucus thickening and inhibits endometrial proliferation