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
