contraception - by patient Flashcards
UKMEC COCP for BMI
BMI 30-34 = UKMEC 2 // BMI 35+ = UKMEC 3
which contraception is NOT effective in patients who have had gastric sleeve, bypass, or duodenal switch
oral contraception
testosterone therapy effect on fertility and pregnancy (eg transgender male)
offers no contraception // must be stopped in pregnancy as teratogenic
which contraception is contraindicated with testosterone therapy (eg transgender man)
oestrogen therapy
in patients taking oestrogen GnRH, finasteride or acetate (eg transgender women) what affect does this have on fertility
may reduce sperm production // not reliable contraception // use condoms
which contraceptives can protect bone density in 40+ women
COCP (+ reduced menopausal symptoms)
which hormonal contraceptions should be stopped at 50
COCP and depo
which hormonal contraceptions can be continued past 50
implant, POP, IUS
when can menopausal women on contraception stop using it
if <50 2 years after last period // if 50+ 1 year after last period
can POP and IUS provide progesterone part of HRT
POP cannot provide progesterone part // IUS CAN
contraception for migraines
NOT COCP
UKMEC 1 + 2 for most antiepiletic drugs (not lamotrigene)
1 = depo, IUD, IUS // 2 = implant
UKMEC 3 for most antiepiletic drugs (not lamotrigene)
UKMEC 3 = COCP + POP
lamotrigine UKMEC 1 options
depo, IUD, IUD + progesterone eg POP, implant
lamotrigine UKMEC 3
COCP
when is contraception required after giving birth
day 21
when is POP + implant safe to start after birth
start anytime postpartum (if after 21 days use contraception for 48 hours)
POP + breastfeeding
safe
when can COCP be started postpartum
only AFTER 21 days (and use condoms for 7 days)
COCP + breastfeeding
UKMEC 4 if breastfeeding <6 weeks post partum // UKMEC 2 if breastfeeding 6weeks - 6 months // may reduce milk production
when can IUS be insterted post-partum
within 48 hours OR after 4 weeks
at what age can a child consent for contraception
over 16 // maybe 13-15 // not under 13
what guidelines and competency assess a childs consent for contraception
fraser guidelines // gillick competent
LARC of choice in young people
implant
