GYNY Flashcards
what contraception works by inhibiting ovulation
injectable contraception - medrooxyprogesterone acetate
combined
levonorgestrel - emergency
implantable - etonogestrel
desogestrel
ulipristal - emergency
what contracption works by inhibiting sperm motility and survival
intrauterine contracpetive device
whats the time until effective for the contracpetion types
7 days until effective:
nexaplanon- implantable device
intrauterine dvice- mirenea, etc
combined pill
injectale - depo provera
2 days until effective :
progesterone only pill
immediately:
copper intrauterine device
whcich contracpetive can cause hypertension
comnined pill
whats the S/E of the depot injection
weight gain
decreased bone mineral desnity
why can you not use depot injection for over 45s
increased risk osteoporosis cus the se is decreased bone mineral density
what the cause of menopause
lack of follices developing so lack of granulosa cells so lack of oestrogen.
what the cause of menopause
lack of follices developing so lack of granulosa cells so lack of oestrogen.
what the cause of menopause
lack of follices developing so lack of granulosa cells so lack of oestrogen.
how do you manage perimenopause symptoms
give oestrogen
need give progesterone if got a uterus to stop the endometrium growing too much and causing endometrial cancer
can have oestrogen pessary byself cus its not systemic
progesterone can increase risk of breasr cancer but thought first 5 years no increase of risk
why do women in perimenopause/menopause have recurrent uti
vagina is dry and have vaginal atrophy =pessary or cream help
a woman has recurrent uti and they are 50 what could the cause be
could be cus they are entering perimenopuase/menopause
why do women in perimenopause experience urinary inconteince
decrease oestrogen means less elasticity og musles and bladder
diagnosis of pcos occurs when the woman has at least 2 of 3 symtpoms / signs
follicles /cysts on ultra sound scan
no/irregular periods
abnormal blood test results = high testosterone/ high free androgen index
= dont need to have a scan to diagnose pcos
if a patient has beeen diagnosed with pcos what else do you need to test to check for
diabetes
cus pcos caused by insulin resitance
