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
How does copper IUD work
It is toxic to sperm and prevents the sperm from reaching the egg
What is the most effective emergency contraception
Copper IUD
When in a cycle should contraception be started
Within first 5 days of cycle - but sometimes appointments may not be available so condoms and abstainance will have to be used for a week after and a pregnancy test after a month
What happens in a laparoscopic sterilisation
Filshie clips applied across tube to block tube lumen - The metal/silicone used is ok for MRI’s
What happens in a vasectomy
Vas deferens divided and ends cauterised - small incision made in the midline of the scrotum
What is mifepristone
Oral antiprogesterone tablet - terminates pregnancy in 4-6 hours for pregnancies under 12 weeks
When is early medical abortion at home offerred
When the women is under 10 weeks gestation
