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3a > Gynae contraception > Flashcards

Gynae contraception Flashcards

1
Q

What is the MOA of levonorgesterel and ulipristal?

A

Inhibit ovulation

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2
Q

When do you double the dose of levonorgestrel for emergency contraception?

A

If BMI >26 or weight >70kg

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3
Q

How long should you wait to commence regular contraception following Ulipristal?

A

5 days

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4
Q

What emergency contraception should you avoid in asthmatics?

A

Ulipristal

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5
Q

Commencing the implant:
1. When is additional contraception required?
2. How long is it required for?

A
  1. If commenced after day 5 of the menstrual cycle
  2. 7 days
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6
Q

Commencing the depot injection:
1. When is additional contraception required?
2. How long is it required for?

A
  1. If commenced after day 5 of the menstrual cycle
  2. 7 days
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7
Q

Commencing the IUD/IUS:
1. When is additional contraception required?

A
  1. Additional contraception is not required. Both are effective immediately
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8
Q

When can you take Levonorgestrel following UPSI?

A

72 hrs

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9
Q

When can you take Ulipristal following UPSI?

A

5 days

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10
Q

When can the IUD be used for emergency contraception?

A

If inserted within 5 days of UPSI or if 5 days after likely ovulation date

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11
Q

What type of contraception is the contraceptive patch?

A

Combined

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12
Q

When should the COCP be avoided in relation to weight and smoking?

A

BMI > 35
Smokes >15/day

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13
Q

Which between the Fraser guidelines and Gillick guidelines are specific to contraception?

A

FRASER GUIDELINES!

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14
Q

What 2 forms of contraception can be commenced anytime from birth?

A
  • POP
  • Implant
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15
Q

When can the COCP be starting post birth in women who are breastfeeding?

A

> 6 weeks post birth

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16
Q

When can the IUD/IUS be inserted post birth?

A

Within 48 hrs of birth or >4 wks post birth

17
Q

What cancers does the COCP increase/decreased the risk of?

A

Increases risk of…
- Breast
- Cervical
Decreases risk of…
- Endometrial
- Ovarian
- Colon

18
Q

Commencing the COCP:
1. When is additional contraception required?
2. How long is it required for?

A
  1. If commenced after day 5 of the menstrual cycle
  2. 7 days
19
Q

Commencing the POP:
1. When is additional contraception required?
2. How long is it required for?

A
  1. If commenced after day 5 of the menstrual cycle
  2. 48 hrs
20
Q

What are the rules when switching from a traditional POP to a COCP?

A

Use additional contraception for 7 days

21
Q

When should you stop the COCP prior to a major operation?

A

Stop 4 weeks before a major operation.

22
Q

When is emergency contraception needed regarding missed COCP?

A

If missed >1 pill from days 1-7 of packet

23
Q

When is additional contraception needed regarding missed COCP? How long for?

A
  • If more than one pill has been missed
  • Use condoms until 7 days of regular pill taking has been established
24
Q

What should you do if missed > 1 COCP from days 15-26 of packet?

A

Skip pill free interval and start new pack

25
Q

What 2 types of POP should you remember?

A
  • Traditional POP
  • Desogestrel-only pill (Cerazette)
26
Q

What delay would mean a POP was missed?

A

> 3 hrs

27
Q

What delay would mean a desogestrel-only pill was missed?

A

> 12 hrs

28
Q

What delay would mean a COCP was missed?

A

> 24 hrs

29
Q

How can you summarise the potential bleeding patterns women starting progesterone only contraception can experience?

A
  • 1/3 will have lighter/no bleeding
  • 1/3 will have normal bleeding
  • 1/3 will have heavier/unsceduled bleeding
    This more troublesome bleeding usually settles after 3 months
30
Q

When is emergency contraception needed regarding missed POP?

A

If unprotected sex occurred within 48hrs of restarting regular pills

31
Q

When is additional contraception needed regarding missed POP? How long for?

A
  • In the event of a missed pill
  • Use condoms until 48 hrs of regular pill taking has been established

3a (34 decks)

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