Lecture 3 Contraception Flashcards
What 2 hormones are found in combined hormonal contraception
Ethinyl estradiol (EE) and synthetic progesterone (progestogen)
What is the standard regime for combined hormone pill
21 days with a hormone free week
What are the risks associated with CHC
DVT and PE
Arterial Thrombosis
Cervical cancer
Breast cancer
What is the mini pill
Progesterone only, taken everyday without pill free interval
How does Levonorgestrel IUS work
Affects cervical mucus and endometrium mot women still ovulate. Stops fertilisation of egg. Slow release of progesterone
Name 5 methods of emergency contraception
Copper IUD
Levonorgestrel pill-Levonelle
Ulipristall pill- ellaone
How long does breastfeeding act as a contraceptive
6 months if feeding every 4 hours and amenorrhoeic
What drugs are contraindications of contraception
Carbamazepine, topiramate, rifampicin, St Johns wort increase metabolism or progesterone and oestrogen and reduce effectiveness
Name the female and male sterilisation techniques
Laparoscopic sterilisation
Vasectomy
When can a surgical termination be carried out
5-12 weeks
What drug is used for cervical priming for a surgical abortion
Misoprostol
What drug is taken for a medical abortion
Mifepristone oral anti progesterone tablet
36-48 hours later misoprostol
