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KPH - Week 3 > Health Dimenstions of adolescent sexual behaviour > Flashcards

Health Dimenstions of adolescent sexual behaviour Flashcards

1
Q

what is UPSSI for the Fraser guidelines?

A

U: understanding
P: parental involvement
S: Sexual activity ongoing
S: suffering
I interests

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2
Q

what is the CU IUD EC?

A

gold standard within 5d first UPSI in cycle
OR
WITHIN 5D EXPECTED DATE OF OVULATION

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3
Q

what are the options of emergency contraception?

A

Cu IUD
ulipristal acetate EC (ellaone)
levonorgestrel emergency contraception (levonelle)

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4
Q

how should ulipristal acetate EC (Ella one) be taken?

A

-licensed for use 120 hours following UPSI

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5
Q

what is Ulipristal acetate?

A

progesterone receptor modulator
thought to delay ovulation
>effectiveness than LNG EC

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6
Q

how should levonorgestrel EC be taken (levonelle)?

A

liscensed up to 72 hours following UPSI
ineffective >96hr
double dose needs to be given if BMI>26, weight >70kg

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7
Q

what is levenogestrel emergency contraception?

A

-thought to delay ovulation

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8
Q

what are the modes of action of birth control?

A

prevents ovulation
thickens cervical mucus that blocks sperm
prevents implantation
prevents fertilisation

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9
Q

what is the MoA of the implant?

A

prevents ovulation

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10
Q

what are the advantages of the implant?

A

very effective
lasts for 3 years
can forget about it once its in its place

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11
Q

what are the disadvantages of the implant?

A

insertion and removal procedure by healthcare professional
unpredictable effect on periods

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12
Q

what is the MoA of the LNG-IUD?

A

levonorgestrel progesterone- thins the endometrium and mucus thickens
10% inhibits ovulation
can be fitted after vaginal birth or C section

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13
Q

what are the advantages of hormonal IUD?

A

very effective
lasts 3-8yrs
can forget about it once in place
fewer or no periods

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14
Q

what are the disadvantages of the hormonal IUD?

A

minor procedure to insert
can be painful
risk of light vaginal bleeding for 3-6 months after insertion
risk of perforation and expulsion
small chance of infection during first 21 days of method

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15
Q

what is the MoA of the non hormonal IUD?

A

copper kills sperm
stops implantation
mucus thicker

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16
Q

what are the advantages of the non hormonal IUD?

A

very effective
lasts for 5-10 years
can forget about it once its in place
non hormonal side effects and usual menstrual cycle
used as emergency contraception

17
Q

what are the disadvantages of the non-hormonal IUD?

A

minor procedure
can be painful
risk of heavier/longer/painful periods
risk of perforation and expulsion
small chance of infection during first 21 days of using method

18
Q

what is the MoA of the progesterone only injection?

A

prevents ovulation
SC or IM

19
Q

what are the advantages of the progesterone only injection?

A

effective
likely stops periods
reduced ovarian and endometrium cancer risk

20
Q

what are thr disadvantages of the progesterone only injection?

A

must be repeated every 3 months
can delay return to fertility for up to 1yr after stopping
erratic bleeding is common initially
likely to stop periods
associated with weight gain
may slightly reduce bone density

21
Q

what is the MoA of combined hormonal contraception?

A

mostly ethinyl estradiol + different progestogens
eg levonorgestrel, gesogestrel, gestodene
PREVENT OVULATION

22
Q

what are thr advantages of the combined hormonal contraception?

A

-easy to use
effective
regular withdrawal bleed
can improve heavy periods
can improve skin/acne
reduced ovary, endometrium and colon cancer risk

23
Q

what are the disadvantages of the combined hormonal contraception?

A

must be taken every day
not as effective
many medical contradictions
association with breast and cervical cancer

24
Q

what are the advantages of the progesterone only pill?

A

easy to use
effective
fewer contradictions than CHC
can reduce periods
reduced ovarian and endometrium cancers

25
Q

what are the disadvantages of the progesterone only pill?

A

-not as effective
-unpredictable on periods

26
Q

what is lactational amenorrhea method (LAM)

A

Lactational amenorrhea, also called postpartum infertility, is the temporary postnatal infertility that occurs when a woman is amenorrheic and fully breastfeeding

27
Q

where do we swab/sample test?

A

penis: first need to pass urine
vagina: low vaginal swab (self taken)

28
Q

how do we test for gonnorhea and chlamydia?

A

nucleic acid amplification test (NAAT)
dual PCR

29
Q

where can extra genital swabs be taken from?

A

pharynx
rectal

30
Q

what are some blood born viruses?

A

HIV (45 days)
syphilis (3 month window period)
Hep B and C

KPH - Week 3 (7 decks)

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