Contraception, Pre-conception and Infertility Flashcards

1
Q

Human Chorionic Gonadotrophin

A

Placental derived glycoprotein
Composed of 2 subunits - alpha and beta
Maintains the corpus luteum for the first 7 weeks of gestation
Half life of 6-24hrs
Rises to a peak in pregnancy at 9-11 weeks

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

Infertility

Female investigations

A
FSH, LH (day 2-4)
21 day progesterone
Rubella and varicella serology
TSH
TVUS
Test tubal patency with hysteroscopy and dye studies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Infertility

Male investigations

A

Testosterone

Sperm analysis and anti-sperm antibodies

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

Effects of smoking on pregnancy

A

More difficult to fall pregnant
Increased risk of: miscarriage, IUGR, premature labour, placenta abruption, placenta praevia
Baby is at increased risk of SIDS and respiratory illness

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

Effects of alcohol on pregnancy

A

FAS (congenital cardiac, brain and spine defects, intellectual and behavioural difficulties)
IUGR

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

Permanent contraception options

A

Male: vasectomy
Female: tubal ligation, transcervical sterilisation (Essure), hysterectomy

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

Tubal ligation Complications

A

Risks of GA
Increased risk of ectopic pregnancies
Damage to surrounding organs (e.g. bowel and bladder)

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

Contraception options:

A

COCP (needs to be taken same time every day, no protection against STIs)
POP (less effective than COCP, no STI protection)
Depot Provera (irregular bleeding, weight gain, no STI prevention, lasts 3 months)
Implanon (lasts 3 years, irregular bleeding, no STI protection)
IUD - Mirena (inserted into uterus by doc, hard in nulliparous women, no STI protection)
Diaphragm (inserted over cervix 6hrs prior and 6hrs after sex, has STI protection)
Male and female condoms (effective if used correctly, offer STI protection)

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

SIDS

A

Decreased incidence when both parents cease smoking

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

Epilepsy

A

Requires 5mg folic acid to prevent neural tube defects

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

Spina bifida

A

Prevented by taking 0.4mg folic acid for 3 months pre-conception

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