Contraception and HRT Flashcards
Combined/oestrogen containing contraception increases a person’s risk of which 2 cancers?
- breast
2. cervical
Combined/oestrogen containing contraception reduces a person’s risk of which 2 cancers? Why?
- endometrial
- ovarian
reduces endometrial thickness and prevents ovulation so less proliferation of these tissues (hence fewer proliferation cycles for something go wrong)
How often is the contraceptive patch changed?
At the end of every week for 3 weeks. Not worn on week 4
Name 3 circumstances associated with the contraceptive patch in which will require additional contraception
- delay in changing of >48 hours in week 1
- delay in changing of >48 hours in week 2
- delay in changing if >24 hours in week 4
What is needed if COCP are missed at the following times:
- 1 pill missed at any point
- > 2 pills missed in week 1 or 2
- > 2 pills missed in week 3
- Take missed pill. No extra precautions
- take last missed pill. extra/emergency contraception
- omit pill free week
Name the situations that fall under UKMEC 3 (7)
- > 35, smoking <15 cigs per day
- BMI >35
- VTE in a first degree relative under 45
- controlled HTN
- immobility
- carrier of breast cancer mutations
- current gall bladder disease
Name the situations that fall under UKMEC4 (8)
- > 35, smoking >15 cigs per day
- hx of migraine with aura
- hx of VTE/known thrombogenic mutation
- hx of stroke/IHD
- breast feeding >6 weeks post partum
- uncontrolled HTN
- current breast CA
- major surgery with prolonged immobilation (stop 4-6 weeks before)
How does the progesterone only pill work?
thickens cervical mucous
also inhibits ovulation
What is a common side effect of the contraceptive implant?
irregular heavy bleeding
Name some side effects associated with progestogen containing contraception
headaches
nausea
breast pain
mood changes
Why is depo provera contraindicated in young people?
risk of osteoporosis
Which is the most effective form of contraception?
implant
which form of contraception is also indicated for menorrhagia?
progestogen IUS
Which form of contraception has been shown to cause weight gain?
depo provera
Within what time period following UPSI can the following be used as emergency contraception:
- Copper IUD
- Levonorgestrel
- Ulipristal (EllaOne)
- 5 days
- 72 hours
- 5 days