contraception and termination Flashcards
What is L.A.R.C
long acting reversible contraception
When is the highest chance of pregnancy
from day 8-19 of the womens cycle
How does the combined pill work
The oestrogen and progesterone excess causes negative feedback which inhibits release of GnRH and therefore inhibits LH and FSH release
What are the side effects of combined contraceptive pill
breast tenderness
nausea
headache
irregular bleeding for first 3 months
What are the serious risks with combined pill
Increased venous thrombosis risk - DVT
Increased arterial thrombosis - MI/stroke
Increased cervical cancer risk
Increased risk breast cancer
When can combined pill be taken
Any time in the 24 hour day and a week off can be taken in a month
When can progesterone only pill be taken
Same time everyday and no breaks
What are the side effects of the progesterone only pill
Appetite increase
hair loss
mood change
bloating or fluid retention
headache
acne
When should progesterone only pill be avoided
Current breast cancer or liver cancer in the past
What does injectable progesterone do
Prevents ovulation
Makes mucus hostile to sperm
Makes endometrium unimplantable
how often should injectable progesterone be taken
every 12-14 weeks
What are the negatives to injectable progesterone
delay in return to fertility - 9 months
Weight gain
Can implants be seen on X ray
Yes as they are radio-opaque
What is the significant side effect of progesterone implant
Mood changes - more significant then the other progesterone only methods
What type of pregnancy is more likely to occur if someone gets pregnant with a coil in
Ectopic pregnancy - Egg grows outside the uterine cavity
