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Contraception I Flashcards

1
Q

what is DMPA?

A

INJECTION
progesterone only
depo provera

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2
Q

what is POEC?

A

progesterone only emergency contraception

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3
Q

if no contraception when is day one of the cycle?

A

first day of the period

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4
Q

if on contraception when is day one of the cycle?

A

first pill in the pack

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5
Q

___% of women ovulate on day 14

A

20

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6
Q

contraception aims to prevent ______

A

ovulation

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7
Q

TF: you can get oestrogen only pills.

A

no its dangerous- cant have unopposed oestrogen as it makes the uterine lining grow

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8
Q

oestrogen is always used…..

A

in combination with progesterone

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9
Q

COC is generally taken…..

with or without a break?

A

every day without a break

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10
Q

brands of COC

A

microgynon
microgynon ED/ zoely
logynon
logynon ED/ qlaira

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11
Q

type of pill is microgynon?

A

21 day monophonic
1 daily
7 day HFI

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12
Q

what type of pills are microgynon ED/ zoely

A

28 day monophasic
1 daily
no HFI

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13
Q

WHAT TYPE OF PILLS ARE LOGYNON

A

21 day phasic
1 a day
7 day HFI

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14
Q

what type of pills are logynon ED and qlaira?

A

28 day phasic

1 daily

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15
Q

what is an ED pill?

A

placebo
sugar pils
help people who forget

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16
Q

combined patch:
name?
what type of contraception?

A

evra
1 patch weekly for 3 weeks
7 day patch free interval

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17
Q

COC: vaginal ring
name?
what type of contraception?

A

Nuvaring
inserted into the vagina for 21 days
7 day ring free interval

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18
Q

examples of oral POCs

how is it taken?

A

noriday- norethisterone
desogestrel- cerazette

28 days, 1 daily

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19
Q

TF: norethisterone injection is the same as DMPA?

A

no but are similar

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20
Q

how often do you have the DMPA?

A

8 or 12 weekly

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21
Q

how often do you have the norethisterone injection?

brand name?

A

every 8 weeks

nexplanon

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22
Q

intra uterine device/ system is also known as?

A

LARC: long acting reversible contraceptive

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23
Q

how often do you change LARCs

brand names?

A

every 3 years for Jaydess

every 5 years for mirena

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24
Q

spermicide gel brand name?

what must these be used with?

A

nonoxyl

with other barrier methods

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25
what are diaphragms made of? | how long must it be kept in place?
silicone polyurethane single use keep in place for 6 hours after use!
26
what types of pills can be used to up regulate bleeding?
monophonic pills with a 7 day HFI
27
what are the pills in 28 day cycles?
21 active and 7 ED sugar pills
28
example of a triphasic pic?
Zoely 24+4
29
what is a feature of POPs compared to COCs?
no HFI
30
Do you have periods on POPs?
light periods or stop having them all together | can have break through period
31
example of a traditional POP?
northisterone
32
example of a newer POP
desogestrel
33
TF: tailored COC regimens are licences
FALSE- they're unlicensed | Rxers know this
34
example of a tailored COC regimen?
21 days then only a 4 day HFI
35
contraceptive patches releases?
oestrogen and progesterone
36
vaginal rings release?
oestrogen and progesterone
37
for the medroxyprogesterone (DMPA) what is the IM dose?
150mg every 8-12 weeks
38
for the medroxyprogesterone (DMPA) what is the SC administration
104mg every 13 weeks
39
is there leeway in time when giving the DMPA?
no, needs to be exact or won't be covered
40
is the contraceptive implant POC or COC?
POC
41
implant brand name and strength | how often
etongestrel 68mg | 3 years
42
mirena IUS needs to be changed every ____ years?
5
43
jayvees IUS must be changed every ____ years
3
44
do you have contraceptive cover in the HFI?
Yes as long as you've taken properly for the last 3 weeks
45
primary action of COCs?
inhibit ovulation | thicken cervical mucus and change endometrium so implantation cant occur as easily
46
why cant oestrogen be taken alone? what does adding progesterone do?
endometrial proliferation- cancers progesterone opposes proliferation
47
how do POCs work?
suppress ovulation thickens mucus and delays ovum transport renders endometrium hostile
48
how do POCs delay ovum transport?
reduce the cilia activity in Fallopian tubes needed to bean the ovum down the tubes
49
what effect do synthetic oestrogen have on FSH? effect of this?
inhibit FSH release by negative feedback surpasses follicular development
50
can you get pregnant if you have sex on your period?
yes, less likely but never impossible
51
COC and POC effectiveness if perfect use?
0.3%
52
COC and POC effectiveness with typical use?
8%
53
implant IUD IUS risk of user failure/ user dependent methods?
all 99%/99%
54
injection risk of user failure/ user dependent methods. why different?
99%/94% | as sometimes dont show up to appoointments
55
condom effectiveness?
male: 98% female: 95%
56
diaphragm or cap with spermicide effectiveness?
96%
57
is sterilisation 100% effective?
no
58
does breastfeeding stop you getting pregnant?
yes but only if you meet certain criteria
59
what is Lactational amenorrhoea?
stopped periods during breast feeding
60
what is the efficacy of lactational amenorrhoea if all conditions apply?
98%
61
what are the conditions needed for 98% efficacy of lactational amenorrhoea?
``` breastfeeding fully or mostly breastfeeding (and sometimes other liquids given) AND baby is under 6 month s AND amenorrhoeic- no periods ```
62
risk of pregnancy in lactational amenorrhoea increases if?
breastfeeding reduces long intervals between feeds night feeds cease and use supplement feeding
63
TF: the risk of pregnancy doesn't come back after 6 months if you have frequent feeding?
False, it decreases after 6 months regardless
64
advantages of COCs?
lighter menstural period can decrease pain regulates
65
disadvantages of COCs
minor ADRs | increase BP, MI, stroke, venous thromboembolism, breast cancer, blood clots (oestrogen)
66
what are COCs minor ADRs?
``` nausea breast tenderness weight gain libido loss discharge breakthrough bleeding ```
67
what about COCs can cause blood clots?
oestrogen
68
advantages of POCs?
high efficacy suitable when COCs aren't decreased risk of endometrial cancer
69
disadvantages of POCs?
menstural irregularities efficacy in overweight people increased risk of ovarian cysts, octopic pregnancy, breast cancer
70
ADRs of POCs?
``` acne headaches depression libido loss weight gain vaginal dryness ```
71
efficacy of POCs _____ with higher weight
DECREASE
72
COC: definition of a missed pill?
>24 hours late
73
if starting COC on day 6 or later what must you do?
add precautions for 7 days till cover is built
74
when is missing pills most critical for COC?
start or end of cycle as it increases the HFI
75
when must you use EHC on COCs
if 2 or more missed in 24 hours | ovaries wake up
76
definition of a missed pill on POP?
>3/ 12 hours late
77
when is EHC indicated in POP?
if one or more pills missed and haven't had 2 days to rebuild cover
78
how long does it take to build up cover of POP?
2 days
79
how else can cover be compromised on the pill?
vomiting and persistent diarrhoea within 3 hours of taking
80
UKMEC chart for using COC? | category 1-4?
describes conditions in which you can/ cant take pills 1: you can have the pill safely 4: POP is more helpful, shouldn't give oestrogen e.g. had breast cancer
81
what would you give to a category 4 patient who wants a contraceptive pill
POP- no oestrogen
82
examples of category 4 conditions in which you cant give COC due to the oestrogen
``` breast feeding women <6 weeks post party women who smoke >15 and are over 35 years old CVD risks high BP vascular disease migraine WITH aura breast cancer (current) systemic lupus ```
83
what is given to lessen menstural bleeding?
northisterone 5mg
84
how does the copper IUD work?
creates a mild inflammatory state in the uterus

Patient (19 decks)

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