Non-long acting Contraception Flashcards
what are the combined hormonal contraception options
combined pill
vaginal ring
patch
what makes contraception combined
having both oestrogen and progesterone
how do you take the combined oral contraceptive pill
start in first 5 days of period
take daily for 21 days followed by a 7 day break
OR some can be used continuously- run 3 packets together then have a withdrawal bleed
what factors can stop the combined hormonal contraceptive pill working
Impaired absorption (GI conditions)
Increased metabolism (liver enzyme function)
drug interactions
forgetting
what are the main risks of the combined oral contraceptive pill
Venous thrombosis
Arterial thrombosis
Adverse effects on some cancers
what are some unwanted effects of the combined oral contraceptive pill
systemic hypertension
(should check bp every 3 months if on COC)
Arterial disease
what is a migraine aura
‘change’ occurring 5-20 mins before onset of headache
may be visual
altered sensation
smell or taste
hemiparesis
why can’t you use the combined pill on someone if you have migraines with aura
increases risk of ismchaemic stroke
at what age would the risks outweigh the benefits of the CHC pill
> 35 years old
what cancer can the pill increase risk of
breast cancer - 1.24 increased relative risk while using, reducing to baseline 10 years after stopping
cervical cancer
what cancer can the pill reduce the risk of
Ovarian and endometrial cancers
overall does the CHC pill increase or reduce risk of mortality
12% reduction in all-cause mortality and no overall increased risk of cancer
what are some non-contraceptive benefits of the combined hormonal contraceptive pill
good for acne less bleeding fewer functional ovarian cysts premenstrual syndrome polycystic ovarian syndrome
what are some side effects of the combined oral contraceptive pill
Nausea
Spots
Breast tenderness
Bleeding
how do you take the progesterone only pill
start on day 1-5 of period
take every single day
what are the risks of subnormal implants and progesterone only pills
little effect on metabolism
‘safer than pregnancy’
what are depo provera/sayana press
injections to suppress FSH and lower estradiol
sayana press - self injection
benefits of depo provers/sayana press
doesn’t interact with liver enzyme drugs eg. anti-epileptics
only needed every 3 months
useful for those with learning disabilities who can’t manage a period
risks of depo provers/sayana press
risk of osteopenia due to low oestrogen
when is the diaphragm useful
older women who dont want to use hormonal contraceptive
dont have a regular partner
how long do you have to keep the diaphragm in after having sex
6 hours after having sex - or overnight
within how much time of applying spermicide to the diaphragm do you need to have sex
3 hours
how is vasectomy done
local or general anaesthetic
no-scalpel technique
scalpel technique
v minor procedure compared to the female one
complications of vasectomy
pain
infection
bleeding/haematoma
anaesthetic complications
failure (not waiting for a clear semen sample after the procedure)
later failure - motile sperm at 7 months
how is female sterilisation done
clamp put on the Fallopian tube
failure rate of female sterilisation
2-3/1000 failure rate
what is natural family planning
tracking cycle and not having sex while ovulating/ fertile window
how effective is natural family planning
76% effective with typical use
v high failure rate
