Hormonal Contraception Flashcards
Contraception good how?
Spacing children
Recourse to abortion
What is first line for contraception?
Increase use of long acting reversible contraceptive methods in Australia.
What is LARC?
Long acting reversible contraception
COC?
Oestrogen and progetagen
COC main Mechanism of action?
- No egg
2. Thicken cervical mucus
Quick start method important how?
If excluded pregnancy
Why get breakthrough bleed on COC?
Religion
Do antibiotics interfere with COC?
Nope.
Only if vomiting or Diarrhoea
Quick Start Method: LEARN FOR THE EXAM!
CRITERIA FOR EXCLUDING PREGNANCY.
What is the Missed Pill Rule? COC?
Is it >24hours late?
Yes: take most recently missed straight away. Used condom for 7 days
No: take pill straight away, should still work.
COC SFx?
Breast tenderness Nausea Breakthrough bleeding Forgotten pills Mood and libido changes ???weight
Risks of COC?
VTE
May increase BP, AMI, stroke
Contraindications for COC?
- Undiagnosed vaginal bleeding.
- Multiple risk factors
- Smoker >35
- Stroke
- known VTE
- migraine
- liver disease
- hormone dependent cancer
- drug interactions
- breastfeeding
Nuvaring made of?
COC
Controlled release, stays in for the month
when use? Progesterone alone?
FIRST LINE!
LARC!
How to take POP?
Take pill EXACTLY the same time everyday.
-if >3 hours, condoms and abstain for 3 days.
Depot Provera, how to inject?
Retract skin then give. ‘Z’ tract injection
Main disadvantage of depo-Provera?
Can do anything for 3 months.
-delay in return of fertility
Need to return 3 monthly
When is implanon not effective?
if enzyme inducing drugs. Carbamazepine
Improve pain but not menorrhagia
Depot Provera: less likely to bleed.
Compare and contrast Depot and Implanon?
EXAM!!!!
Disadvantage of implanon?
Unpredictable bleeding
Headache, acne, weight gain, scar
Important for Implanon tell woman?
Adequate Counselling
IUD failures?
Unrecognized expulsions
Advantage of LNG-IUS?
Effective Cost effective No day to day action Repaid reversible Long lifespan Reduces uterine blood loss 50% amenorrhoea at 12 months.
Disadvantages of LNG-IUS
6 months of Mentrual disturbance, wear panty liner, it’s ok if you stop periods.
5% expulsion risk. More in nulliparous woman
-perforation
-pelvic infection - from previous STI/chlamydia
Ectopic preg with IUD?
So Less likely to get pregnant in the first place.
Contraindications for Mirena?
Hormone dependent cancer
Unexplained bleeding.
