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AKT > Contraception + HRT > Flashcards

Contraception + HRT Flashcards

1
Q

Menopausal woman - how long should contraception be continued from the last period - if > 50 years old

A

12 months after the last period

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2
Q

Menopausal woman - how long should contraception be continued from the last period - if < 50 years old

A

24 months after the last period

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3
Q

Traditional POP (Micronor, Noriday) - forgot to take pill, <3hr late

A

Take pill now, no further action

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4
Q

Traditional POP (Micronor, Noriday) - forgot to take pill, >3hr late

A

Take (one) missed pill now
Take next pill at usual time
Extra protection for 48hr

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5
Q

Progesterone injectable contraceptive - what factor is a UKMEC 4 contraindication?

A

Current breast cancer

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6
Q

Progesterone injectable contraceptive - what factor is a UKMEC 3 contraindication?

A

Past breast cancer

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7
Q

Levornogestrel emergency contraception dose

A

1.5mg

3mg if >70kg or BMI >26

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8
Q

Progestogen implantable contraceptive (Nexplanon) - UKMEC3 contraindication to starting

A 
IHD/stroke
Unexplained PV bleeding
Past breast cancer
Liver cancer
Severe liver cirrhosis
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9
Q

Progestogen implantable contraceptive (Nexplanon) - UKMEC4 contraindication

A

Current breast cancer

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10
Q

COCP reduces risk of which cancers

A

Bowel
Endometrial
Ovarian

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11
Q

COCP increases risk of which cancers

A

Breast

Cervical

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12
Q

COCP

>35y + smokes >15/day

A

UKMEC 4

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13
Q

COCP

>35y + smokes <15/day

A

UKMEC 3

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14
Q

COCP

BMI >35

A

UKMEC 3

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15
Q

COCP

Controlled hypertension

A

UKMEC 3

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16
Q

COCP

Thromboembolic disease in 1st degree relative <45y

A

UKMEC 3

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17
Q

EllaOne (ulipristal acetate) dose

A

30mg

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18
Q

EllaOne (ulipristal acetate) mechanism of action

A

Inhibition of ovulation

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19
Q

EllaOne (ulipristal acetate) can be used up to

A

120 hours after UPSI

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20
Q

Oestrogen-containing contraceptives and major surgery

A

Stop 4 weeks before

Restart once mobilising

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21
Q

Levornogestrel emergency contraception must be taken within

A

Within 72 hours of UPSI

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22
Q

Current breast cancer is UKMEC 4 contraindication for

A

All hormonal contraceptives

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23
Q

Medications which may reduced efficacy of implantable contraceptive (Nexplanonon = etonorgestrel)

A

Enzyme inducers (rifampicin, carbemazepine)

24
Q

Extra precautions - If Levornogestrel-IUS (Mirena) is inserted on day 1-7 of cycle

A

No additional contraception required

25
Q

Extra precautions - If Levornogestrel-IUS (Mirena) is inserted outside day 1-7 of cycle

A

7 days additional contraception

26
Q

Quickstarting contraception after EllaOne (ulipristal acetate)

A

Start 5 days after EllaOne

27
Q

Emergency contraception option contraindicated in patient with severe asthma

A

Ulipristal acete (EllaOne)

28
Q

Breastfeeding and levornogestrel EC

A

No restrictions

29
Q

Breastfeeding and ulipristal EC

A

Breastfeeding should be delayed for 1 week after taking

30
Q

Copper IUD may be used as EC up to

A

5 days after UPSI
or
5 days after likely ovulation date

31
Q

COCP and missed 2 pills

Missed in week 1 (days 1-7)

A

Use condoms for 7 days

Consider EC

32
Q

COCP and missed 2 pills

Missed in week 2 (days 8-14)

A

Use condoms for 7 days

No need for EC

33
Q

COCP and missed 2 pills

Missed in week 3 (days 15-21)

A

Use condoms for 7 days

Omit pill-free interval

34
Q 
Cerazette POP (desogestrel)
Forgot to take pill <12hr late
A

Take pill now

No action needed

35
Q 
Cerazette POP (desogestrel)
Forgot to take pill >12hr late
A

Take missed pill now
Take next pill at usual time
Condoms for 48hr

36
Q

Mirena IUS as contraception - licensed for

A

5 years

37
Q

Mirena IUS as endometrial protection in HRT - licensed for

A

4 years

38
Q

Kyleena contains

A

19.5 mg levonorgestrel

39
Q

Mirena contains

A

52 mg levonorgestrel

40
Q

Jaydess contains

A

13.5 mg levonorgestrel

41
Q

Jaydess IUS - licensed for

A

3 years

42
Q

Premature menopause =

A

Definitve loss of ovarian function <40y

43
Q

Premature ovarian insufficiency =

A

Transient/permanent loss of ovarian function <40y

44
Q

Early menopause =

A

Cessation of ovarian function 40-45y

45
Q

QS CHC (COCP/patch/ring) day 1-5 of cycle

A

No precautions required

46
Q

QS CHC (COCP/patch/ring) on day 6 or later

A

Precautions for 7 days

47
Q

QS POP day 1-5 of cycel

A

No precautions required

48
Q

QS on day 6 onward

A

Precautions for 2 days

49
Q

QS progestogen depot day 1-5 of cycle

A

No precautions required

50
Q

QS progestogen depot day 6 onward

A

Precautions for 7 days

51
Q

QS progestogen implant day 1-5 of cycle

A

No precautions required

52
Q

QS progestogen implant day 6 onward

A

Precautions for 7 days

53
Q

QS levornogestrel IUS day 1-7 of cycle

A

No precautions required

54
Q

QS levornogestrel IUS day 8 onwards

A

Precautions for 7 days

55
Q

QS copper IUD

A

No requirements at any point of cycle

56
Q

LNG-EC - how long until you can quick-start HC?

A

Can QS immediately

will not effect LNG effectiveness

57
Q

UPA-EC - how long until you can quick-start HC?

A

5 days (120hrs)

AKT (28 decks)

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