Contraception LARC Flashcards
Approx. what percentage of pregnancies in UK are unplanned?
40%
What is the main mechanism of most hormonal methods, how does it do it and what is the one exception?
Main mechanism is prevention of ovulation by suppressing FSH and LH by negative feedback on hypothalamus/pituitary and the exception is the hormonal coil
By what shared mechanism do IUS, DMPA, POP, SDI prevent pregnancy?
thickened cervical mucous so prevention of fertilisation
By what shared mechanism do CHC, DMPA, SDI, LAM, Desogestrel-containing POP, (IUS) prevent pregnancy?
ovulation suppression
By what shared mechanism do IUD (copper) and spermicides prevent pregnancy?
Direct toxic effect so prevent fertilisation and implantation
By what shared mechanism do female sterilisation and vasectomy prevent pregnancy?
Tubal occlusion so prevents fertilisation
By what shared mechanism do condoms, diaphragms and cervical caps prevent pregnancy?
By creating a mechanical barrier preventing fertilisation
By what shared mechanism do IUS, IUD, SDI, DMPA, POP, CHC prevent pregnancy?
Endometrial changes/thinning so prevent implantation
List some non-contraceptive benefits of hormonal contraception i.e. other reasons to take it
Helps with: period pain, heavy bleeding, irregular PV bleeding, ovulation pain, PMS, cyclical breast tenderness, ovarian cysts, endometriosis, ovarian cancer, acne/hirsutsim
What contraceptives help with irregular PV bleeding?
CHC, IUS and DMPA
What contraceptive is mainly used to treat PMS?
CHC
What is the only contraceptive that helps with acne/hirsutism?
CHC
What does DMPA stand for? List 2 brand names.
Depot medoxyprogesterone acetate. Depoprovera and sayanapress
List 7 factors to consider in deciding best contraceptive method.
personal preference, non-contraceptive benefits, medical eligibility, age, accessibility of method, acceptability of side effects, life situation
What is a common brand name for SDI - subdermal implant?
Nexplanon
What is common brand name for combined hormonal ring?
Nuvaring
What is common brand name for combined hormonal patch?
Evra
What is common brand name for combined hormonal patch?
Evra