Contraception Devices 1+2 Flashcards
What are the non-oral options?
Transdermal patch
Vaginal ring
Parental injection/implant (LARC)
Intra-uterine devices/systems (LARC)
Barrier methods
What is LARC?
Long-acting reversible contraception administered less than once a month
What is the most effective form?
Implant
IUD/IUS
When is highly effective contraception needed?
Patient or male partner is taking teratogenic drugs or drugs with potential teratogenic effects
What are examples of medicines that require contraception with them?
Isotretinoin
Finasteride
Sodium valproate
How is the transdermal patch administered?
1 patch applied once a week for 3 weeks
How is the vaginal ring administered?
1 unit inserted on day 1 of cycle + left in for 3 weeks
What do you counsel on for depo injections?
Likelihood of menstrual disturbance
Delay in return to fertility
Effect on bone density
How is the implant administered?
Single non-biodegradable rod inserted sub-dermally
When do you caution use of IUDs?
Increased risk of PID
How long can IUD be used for?
3-10 years
What is good about the IUD?
Complete + rapid return of fertility
Describe the Cu-IUD
Non-hormonal
Effective immediately after insertion
Cu toxic to sperm
What is the use of Cu-IUD associated with?
Reduced risk of endometrial cancer + cervical cancer
What can be the side effects of Cu-IUD in first 3-6months?
Spotting
Light bleeding
Heavier or longer periods
