hormonal contraception

Question 1

cotnraceptive oestrogens and progestogen product names

Answer 1

• combined ethinylestradiol products, desogestrel

Question 2

oestrogen and progestogens indications

Answer 2

1. hormonal cotnraception

2. HRT to delay early menopause in women <50years and treaet distressing menopausal sx

Question 3

MOA of oestrogens and progestogens

Answer 3

0 oestrgoens/progestogens suppress LH/FSH release and hence ovulation

• also have effects outside ovary. improves acne, reduces menses pain.
• menopause, oestrogen falls hence HRT relieves sx caused by fall

Question 4

hormonal contraception SE

Answer 4

• Irregular bleeding and mood changes. does not cause weight gain. . oestrogens increase VTE risk. increase CVD and stroke risk.
• increase breast ca and cervical ca. breast ca reversed after stopping
• POP dont increase VTE or CVD.

Question 5

CI to hormonal cotnraceptions

Answer 5

• breast ca
• avoid combined in VTE personal or fhx or in known thrombotic mutation,
• relative CI in CVD

Question 6

Hormonal contraceptive interavtions

Answer 6

cp450. reduce efficacy esp POP

Absoprtion of lamotigine may be reduced, impairing seizure control

Question 7

what criteria is used to assess suitability of types of hormonal contraception

Answer 7

• UKMEC

Question 8

when do u need to start hormonal contraception in order to not use more contaception

Answer 8

• first 6 days of period cycle

Question 9

how many days do you use barrier contraception for if starting the pill after 7th day of cycle

Answer 9

• 7 days