Harvluck B8 W2 Flashcards
What is the hormone produced by IUS?
Levonorgestrel
Examinations before prescribing contraceptive
BP and BMI
Caution for intrauterine contraception
Firboids, cervical/endometrial cancer, pelvic infection, cardiac disease
Antibiotics and combined contraceptive
Diarrhoea, vomiting which causes loss of pregnancy protection
Contraception in form of pill, injectable or implant
Progesterone-only
Principles of use for combined hormonal contraceptives
Use for 7 days then 7 day free bleed
Formation of uterus
Paramesonephric ducts meet in the midline to fuse
Where does the pudendal vein drain?
Into vesicle plexous around urinary bladder
Salpingectomy
Removal of the fallopian tube
Where is damage likely to occur in childbirth?
Superficial transverse perineal muscle
Whuch emergency contraceptive can work after ovulation?
IUD
Difference between Bartholin gland and vestibular gland
No difference
Combined oral contraceptive
99% effective with consistent use of one tablet daily. Avoid taking with UPA.
Advantages of progesterone injectable
Reduced bleeding, pain of endometriosis
External os
Opening of cervix into vagina
Criteria for lactational amenorrhea method
Less than 6-12 months post partum, amenorrhoea, full breastfeeding
Disadvatnage of progesterone injectable
Causes weight gain, delatyed fertility, increased osteopororsis risk and breasta and cervical cancer
Risk of combined hormonal contraception
Risk of venous thromboembolism, stroke, MI, breast and cervical cancer
Disadvantages of progesterone implant
Irregular bleeding, risk of fitting
What is the standard days method?
12 day fertile window for avoiding sex
Indicators of fertility for fertility awareness method
Temp, cervical secretions, calender standard days method
Cautions for progesterone contraception
Unexplained vaginal bleeding, breast cancer, cardiovascular disease
Cautions for combined contraceptive?
Smoking, history of blood clots, breast cancer, high BP or BMI
Advantages of combined contracpetive
Menstruation, heavy bleeding, reduced risk of endometrial and ovarian cancer
Which muscle overlies the vestibule bulbs?
Bulbospongous muscle
Drug interaction cautions for progesterone-only implant
UPA and liver enzyme inducers
Liver enzyme inducers
Anti-epileptics, anti-bacterial such as rifampicine, anti-retroviral eg ritonavir and anti-depressant like St John’s wort
Bulbs of vestibule
Formed of corpus spongiousum
Mean survival of sperm
1.47
Vagina from paramesonephric duct
Proximal 1/3
Contraceptive that have risk of perforation
Intrauterine system
