Contraception & TOP Flashcards
primary mode of action of
a) COCP
b) implant
c) copper IUD
a) inhibits ovulation
b) inhibits ovulation
c) decreases sperm motility and survival
levonorgestrel - what type of contraceptive?
progesterone only
used for EC
how long following UPSI is levonorgestrel licensed for use
up to 72 hrs
how long following UPSI can EllaOne (Ulipristal) be used
up to 120 hrs
can the pill be started again straight away after ulipristal EC?
hormonal contraception can interfere with its action»_space; restart 5 days after
breastfeeding should be delayed for 1 week following ulipristal/levonorgestrel?
ulipristal
IUD must be fitted within ? days of UPSI
5 days
The pearl index describes the no. of pregnancies that would be seen if ? women used the contraceptive in question for ? year(s)
one hundred women
1 year
if pearl index = 0.2 then this means 0.2 pregnancies for every 100 women, or 2 for every 1000 women
how long after amenorrhoea is contraception not needed if
a) < 50
b) > 50
a) 2 yrs
b) 1 yr
which methods of contraception can be used over 50 yrs
implant, POP, IUS
most common adverse effect of POP
irregular bleeding
POP - if started up to and including day ? of the cycle it provides immediate protection. otherwise other methods should be used for the first ? days
day 5
2 days
POP missed pill > 3 hrs
take pill soon as possible and use extra precautions until normal pill taking has been established for 48 hrs
COCP - can it be used whilst breast feeding?
no
absolutely contraindicated if breast feeding < 6 weeks post partum
(may reduce milk production)
when is lactational amenorrhoea suitable contraception
fully breast feeding
amenorrhoeic
< 6 months post partum
medical TOP
2 stages
- oral mifepristone 200 mg
- 48 hours later, vaginal or oral prostaglandin e.g misoprostol, gemeprost (up to 9 weeks, can complete 2nd stage at home, later than this need repeat doses of PGE 3 hourly)
surgical TOP
vacuum aspiration
TOP aftercare
urine pregnancy test at 2-3 weeks
anti D
which days in a standard cycle are most fertile
8 > 18
basal body temp - how to tell when you’re most fertile
take before rising in the morn
most fertile during the 2/3 days before your temp increases (by > 0.2 degrees C)
consistency of fertile cervical mucous
wet and slippery
what is the pearl index
no. of accidental pregnancies x 1200
/
total no. of months of exposure
how long is the implant licensed
3 yrs
py action of injection and implant
inhibition of ovulation
