Contraception Methods Flashcards
What is the main side effect of the sub-dermal implant (SDI, nexplanon)?
Prolonged PV bleeding (can be controlled with COCP)
What guidance should you use when assessing eligibility for a contraceptive method?
UK medical eligibility criteria for contraceptive use (UK MEC)
What are the main conditions that would cause someone to not be eligible for contraception?
VTE risk
CVD risk
Liver problems
Hormone dependent tumour
Why are women with migraine with aura not allowed to get the COCP?
Increases risk of stroke
When should you start the COCP?
In first 5 days of period
OR
At any time in cycle when reasonably sure not pregnant with condoms for 7 days.
How long should you take the pill for each month and how long a break should you take?
Daily for 21 days
7 day break (some don’t need a break)
What are the 3 main risks of combined hormonal contraception?
Venous thrombosis
Arterial thrombosis
Adverse effects on some cancers
What contraceptives have both oestrogen and progesterone?
COCP
Ring
Patch
What do you do before prescribing CHC?
BP and BMI
Check smear status if relevant
Check risk factors
Does CHC improve or worsen acne?
Improve
Can CHC improve or worse PMS and PCOS?
Improve
What are the progesterone only methods of contraception?
POP
Subdermal implant
DMPA injection
When should you start progesterone only methods of contraception?
Day 1-5 of period
OR
Anytime if reasonably certain not pregnant plus condoms for 7 days (2 days if progesterone only pill)
Why are second generation progesterones used more in CHC?
Less risk of venous thromboembolism
