Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

FINALS - OBS, GYNAE, BREAST > contraception - methods > Flashcards

contraception - methods Flashcards

1
Q

mechanism COCP prevents pregnancy

A

inhibits ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

when should you start taking COCP

A

if started within 1st 5 days of cycle no additional contraception needed // if started any later use condoms for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

how should you take COCP

A

same time every day // no need for withdrawal bleed (take continuously, take 3 packs then a break)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

which medications may reduced efficiency of the COCP

A

liver enzyme inducing eg rifampicin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

advantages of COCP (esp cancer)

A

lighter periods // reduced ovarian, endometrial and colorectal cancer!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

increased risks with COCP

A

VTE // breast and cervical cancer // stroke and IHD (esp smokers)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

SE COCP

A

headache, nausea, breast tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what to do with 1 missed pill COCP

A

take pill at any time you remember, even if that means taking 2 in a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

advice if 2 COCP pills are missed in week 1 of cycle

A

consider emergency contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

advice if 2 COCP pills are missed in week 2 of cycle

A

if she has taken pill for 7 consecutive days there is no need for emergency contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

advice if 2 COCP pills are missed in week 3 of cycle

A

finish pills in her back and start new pack (miss pill free interval)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

UKMEC 3 COCP

A

35 + smoke <15 // BMI >35 // FH VTE <45 // hypertension // immobile eg wheel chair // BRCA // gallbladder disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

UKMEC 4 COCP

A

35+ smoke >15 // migraine with aura // PMH VTE (or mutation) // stroke or IHD // breastfeeding <6weeks // uncontrolled hypertension // breast cancer // surgery + immobile // antiphospholipid antibodies eg SLE or APS // diabetes >20 years ago

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

UKMEC 4 COCP

A

35+ smoke >15 // migraine with aura // PMH VTE (or mutation) // stroke or IHD // breastfeeding <6weeks // uncontrolled hypertension // breast cancer // surgery + immobile // antiphospholipid antibodies eg SLE or APS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how should the combined patch be used

A

wear a patch for 3 weeks (change each week), 4th week no patch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

advice if there is a delay in changing combined patch for in week 1 or 2

A

if <48 hours change immediately // if >48 hours then change immediately and use condoms for 7 days (or emergency contraception is needed)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

advice if there is a delay in changing combined patch for in week 3

A

remove ASAP and apply patch on usual start day for next cycle (ie have withdrawal bleed, no need for condoms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

advice if there is a delay in applying new combined patch at end of week 4 (patch free week)

A

condoms for 7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

mechanism POP (not desogesterol)

A

thickens cervical mucus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

mechanism POP desogesterol

A

inhibits ovulation (and thickens mucous)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

most common SE POP

A

irregular vaginal bleeding

22
Q

advise about starting POP

A

if started up to day 5 of period safe to start // if after use condoms for 2 days

23
Q

what to do if missed pill with POP

A

<3 hours take as normal // >3 hours use condoms for 48 hours // if deosgestrel (cerazette) a 12 hour window

24
Q

mechanism implant

A

inhibits ovulation + thickens mucous (progesterone)

25
Q

how long does implant last

A

3 years (most effective form of contraception)

26
Q

when should implant be inserted

A

if applied on day 1-5 no extra needed // if outwith that then 7 days needed

27
Q

biggest SE implant

A

irregular or heavy bleeding // progesterone side effects eg headache, nausea, breast pain

28
Q

how can irregular bleeding be controlled with implant

A

COCP

29
Q

what medications can reduce effectiveness of implant

A

some anti-epileptics and rifampicin

30
Q

UKMEC 3 implant

A

IHD, stroke, vaginal bleeding, past breast cancer, liver cirrhosis or cancer

31
Q

UKMEC 4 implant

A

current breast cancer

32
Q

mode of action IUD

A

copper - decreases sperm motility and survival

33
Q

how long to IUDs last + when should they be inserter

A

effective as soon as inserted // last 5-10 years

34
Q

mechanism IUS

A

(mirena) - thickens mucous and prevents endometrial proliferation

35
Q

how long does IUS last and when is it effective

A

after 7 days // up to 5 years

36
Q

SE IUD

A

heavy, painful period

37
Q

SE IUS

A

initial frequent bleeding and spotting which decreases over time

38
Q

risks of intrauterine implants

A

perforation, PID, expulsion

39
Q

methods of emergency contraception

A

levonorgestrel (levonelle), ulipristal (ellaone), IUD

40
Q

mechanism Levonorgestrel (levonelle)

A

inhibit ovulation + implantation (progesterone)

41
Q

window for Levonorgestrel

A

72 hours

42
Q

dose Levonorgestrel

A

1.5mg (double if BMI >26 or weight >70kg)

43
Q

what to do if vomiting after Levonorgestrel

A

if within 3 hours repeat dose

44
Q

how many times can Levonorgestrel be used in a cycle + when can contraception be started

A

more than once of indicated - start contraception straight away

45
Q

when can ellaone be taken + dose

A

30mg within 120 hours

46
Q

other contraception + ellaone

A

reduced effectiveness of pill, patch, and ring for 5 days // use condoms for that time

47
Q

what condition needs caution with ellaone

A

asthma

48
Q

how many times can emergency contraception be given in a cycle

A

more than once

49
Q

most effective emergency contraception

A

copper IUD - 99% effective at any time in cycle

50
Q

when can copper coil be inserted for emergencies

A

up to 5 days after ovvulation date

51
Q

clinical indication family planning

A

temperature, changes in mucous, changes in cervix

FINALS - OBS, GYNAE, BREAST (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions