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Gynaecology > Fertility and contraception > Flashcards

Fertility and contraception Flashcards

1
Q

Symptoms of PCOS

A

Acne, Hirsuitism, Obesity, Amenorrhoea, Infertility, DM, Hypertension

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2
Q

Investigations for PCOS

A

Bloods (day 5 LH:FSH), USS pelvis, Laproscopy

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3
Q

Management of PCOS

A

Weight loss, Smoking cessation, Metformin
Anti-androgens (Spironolactone, Finasteride)
Endometrium control (COCP, Dydrogesterone)

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4
Q

Sequelae of PCOS

A

Infertility, Endometrial hyperplasia, CVS disease

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5
Q

Causes of infertility

A

Ovulatory - PCOS, Turner’s, Low BMI, Hyperprolactinaemia
Tubal - PID, Congenital, Adhesions
Male factors, Unexplained

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6
Q

Questions to ask with female infertility

A

Menorrhagia, Pain, Dysmenorrhoea, PID, Abdominal surgery, Cycle

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7
Q

Questions to ask with male infertility

A

Injury, Infection, Surgery

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8
Q

Female examination for infertility

A

Hirsuitism, Galactorrhoea, Secondary sexual characteristics, BMI, Speculum

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9
Q

Investigations for female infertility

A

Bloods (day 2 LH+FSH, day 21 progesterone, Prolactin, TFTs, Testosterone, Rubella), Pelvic USS, Hysteroscopy, Hysterosalpingogram

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10
Q

Investigations for male infertility

A

Semen analysis (Count, Morphology, Motility)

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11
Q

Management options to induce ovulation

A

Clomifene, Gonadotrophin injection

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12
Q

Assisted fertilisation options

A

IVF, Artificial insemination

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13
Q

Failure rate with barrier contraception

A

5%

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14
Q

Failure rate of COCP

A

1%

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15
Q

Contraindications to COCP

A

BMI > 40, BP >160/100, Smoking >40, Migraine with aura, Past VTE, Past breast cancer, Past hydatidiform mole

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16
Q

Side effects of COCP

A

VTE, Breast cancer, Mood changes

17
Q

When should the COCP be started

A

Day 1 of cycle

18
Q

What to do if missed COCP

A

Take in 24hr, condoms for 7/7 if missed

19
Q

Failure rate of POP

A

1%

20
Q

Side effects of POP

A

Acne, Headaches, Weight gain, Mood changes, Irregular bleeding

21
Q

What to do if missed a POP

A

Take within 12hr, Condoms 7/7 if missed

22
Q

Failure rate of implant

A

0.5%

23
Q

Side effects of implant

A

Acne, Headaches, Weight gain, Mood changes, Irregular bleeding

24
Q

Failure rate of an inert IUD

A

2%

25
Q

Contraindications for IUD

A

STIs, Cancer of cerix+Ovary+Endometrium

26
Q

Side effects of inert IUD

A

Infection Lost threads, Irregular bleeding

27
Q

Failure rate of IUS

A

0.5%

28
Q

Risks with inserting IUD

A

Cervical shock, Perforation

29
Q

When to remove IUD

A

During period

30
Q

Failure rate of female sterilisation

A

0.5%

31
Q

Failure rate of male sterilisation

A

0.05%

Gynaecology (6 decks)

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