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#passmed 2023 > Ong: Contraception > Flashcards

Ong: Contraception Flashcards

1
Q

What are the 2 different types of Progesterone Only Pill (POP)?

A
  1. Traditional POP
  2. Cerazette (aka desogestrel)
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2
Q

What are the names of Traditional POPs? (4 things)

A
  1. Micronor
  2. Noriday
  3. Nogeston
  4. Femulen
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3
Q

What is the time frame for missing a pill in Traditional POPs?

A

3 hours

(aka if less than 3 hours since time you shuda taken it, jus take it n do nothing else)

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4
Q

What is the time frame for missing a pill in Cerazette (desogestrel)?

A

12 hours

(aka if less than 3 hours since time you shuda taken it, jus take it n do nothing else)

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5
Q

What should you do if you miss the time frame of either Traditional POP or Cerazette (desogestrel)? (2 things)

A
  1. Take missed pill ASAP
  2. Extra precaution (aka condoms) for 48 hours
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6
Q

When should you take the next pill after you take your Missed Pill ASAP?

A

At normal time
(even if it means you take 2 pills on same day)

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7
Q

What is the name of the Patch contraception used in the UK?

A

Evra patch

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8
Q

How long does the Evra Patch cycle last?

A

4 weeks

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9
Q

When do you wear Evra patch during cycle and when do you not wear it?

A
  • Week 1-3: Patch worn everyday, changed each week
  • Week 4: Patch not worn, you get withdrawal bleed
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10
Q

What comes into play for actions when you delay changing the Evra patch? (2 things)

A
  1. What week of the cycle you’re on
  2. If less / more than 48 hours delay
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11
Q

If Evra patch delay is in Week 1 / 2, and delay is less than 48 hours, what is the action?

A

No action required, just change patch

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12
Q

If Evra patch delay is in Week 1 / 2, and delay is MORE than 48 hours, what is the action? (2 things)

A
  1. Change patch
  2. Barrier contraception for 7 days
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13
Q

If Evra patch delay is in Week 1 / 2, and delay is MORE than 48 hours, what is the action? (2 things)

A
  1. Change patch
  2. Barrier contraception for 7 days
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14
Q

If Evra patch delay is in Week 1 / 2, and delay is MORE than 48 hours, and intercourse has happened, what is the action?

A

If intercourse is in last 5 days –> Emergency contraception

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15
Q

If Evra patch delay is in Week 3, what is the action?

A
  • No action: just remove patch, and put patch on again when new cycle starts like normal
  • No additional contraception needed
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16
Q

If there is a delay in putting on patch in Week 1 (after patch-free Week 4), what is the action?

A

Barrier contraception for 1 week

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17
Q

What are the rules regarding COCP and surgery? (2 things)

A
  1. Stop 4 weeks before surgery
  2. Restart 2 weeks after surgery

(bc VTE risk)

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18
Q

What is the rule about restarting hormonal contraception after taking Levonorgestrel as Emergency contraception?

A

Can restart it immediately

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19
Q

What is the rule about restarting hormonal contraception after taking Ulipristal as Emergency contraception?

A

Restart after 5 days

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20
Q

What is a CI for Intra-uterine device?

A

PID

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21
Q

What contraception should you use instead of IUD?

A

Implantable device

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22
Q

What is the most effective form of contraception?

A

Implantable device

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23
Q

What are the side fx of Implantable device? (2 things)

A
  1. Irregular / heavy bleeding
  2. Progestogen fx: Headache / Nausea / breast pain
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24
Q

How is the Irreg / heavy bleeding of Implantable device overcome?

A

COCP co-prescription

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25
Q

What is a weird CI for COCP?

A

Wheelchair users

(bc double DVT risk)

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26
Q

What cancers does COCP cause? (2 things)

A
  1. Cervical
  2. Breast

(COCP = Causes Outside Cancers Predominantly)

27
Q

What cancers does COCP protect against? (2 things)

A
  1. Endometrial
  2. Ovarian

(protects against “deeper” cancers)

28
Q

What emergency contraception can be given which has the longest period you can use it?

A

Ulipristal (EllaOne)

(up to 120 hours post unprotected intercourse)

29
Q

What is MOA of COCP?

A

Inhibits ovulation

30
Q

What is MOA of Implantable contraceptive (etonogestrel)?

A

Inhibits ovulation

31
Q

What is MOA of Copper IUD?

A

Decreases sperm motility and survival

32
Q

What is MOA of POP (excluding desogestrel)?

A

Thickens cervical mucus

33
Q

What is MOA of POP Desogestrel?

A

Inhibits ovulation

34
Q

How many years does Nexplanon (aka implanted contraceptive) work for?

A

3 years

(number of N’s in name = 3)

35
Q

What contraception should a Breast cancer pt use?

A

Copper IUD
(all other contraceptives CI)

36
Q

What do women who go through menopause under age of 50 require?

A

Contraception for at least 2 years after LMP

37
Q

What do women who go through menopause over age of 50 require?

A

Contraception for only 1 year after LMP

38
Q

What contraception should you use for women who have gone though menopause?

A

IUS

39
Q

What is the ABSOLUTE CI for COCP? (2 things)

A
  1. Migraine w aura
  2. Breastfeeding (less than 6 wks post partum)
40
Q

What should you advise if pt misses 2 COCP pills in week 1, and has had intercourse in pill-free interval / week 1? (3 things)

A
  1. Take extra pill today
  2. Take emergency contraception
  3. Barrier contraception for 1 week
41
Q

What should you advise if pt misses 2 COCP pills in week 3, and has had intercourse? (3 things)

A
  1. Take 2 pills now
  2. Finish pack like normal
  3. Start new pack immediately (missing the pill-free interval)
42
Q

How long after taking Levonorgestrel (emergency contraception) can you start hormonal contraception (aka COCP)

A

Immediately

43
Q

When can you put Contraceptive Implant in after giving birth if not breastfeeding?

A

Immediately after childbirth

44
Q

How many days post-partum do women NOT need contraception for?

A

21 days

45
Q

Do you need to take any precaution when taking Abx and POP?

A

No

46
Q

When should you give Emergency contraception in COCP? (2 things together)

A
  1. 2 pills missed week 1
  2. Unprotected intercourse @ week 1 / pill free interval
47
Q

What if you miss 2 pills of COCP in week 2 of cycle?

A

No emergency contraception is needed, as long as previous 7 days of COCP taken correctly

48
Q

When is Levonorgestrel most effective?

A

Within 12 hours

49
Q

What is the most effective emergency contraception?

A

Copper coil (IUD)

50
Q

How long can you use Ulipristal acetate as emergency contraception?

A

Upto 120 hours

51
Q

What is the MOA of Ulipristal acetate as emergency contraception?

A

Prevents ovulation
(so if already ovulated no point giving)

52
Q

When switching from POP to COCP, what precaution do you need to take?

A

7 days barrier contraception

53
Q

When you stop COCP 4 weeks before surgery, what contraceptive can you take instead?

A

POP

54
Q

What cancers does COCP protect against? (2 things)

A
  1. Endometrial cancer
  2. Ovarian
55
Q

What cancers does COCP cause? (2 things)

A
  1. Breast cancer
  2. Cervical
56
Q

How long does POP take to become affective?

A

48 hours

57
Q

What is the most common POP?

A

Cerazette (aka desogestrel)

58
Q

Why is Cerazette (aka desogestrel) the best POP?

A

Because has a window of 12 hours
(aka if u forget to take it, you have 12 hours to remember and no further action needed)

59
Q

Why are all other POPs not as good as Cerazette (aka desogestrel)?

A

They have a 3 hour window
(aka if you forget and 3 hours has passed from the time you should have taken it, you need barrier contraception for 48 hours)

60
Q

What is a CI for COCP in terms of VTE?

A

Positive antiphospholipid antibodies (aka in SLE)

61
Q

What is an absolute CI for Copper IUD?

A

PID
(bc you’re putting something foreign in, so inf risk)

62
Q

Which contraceptive causes weight gain?

A

Depo-provera (aka injectable one)

63
Q

What are the side fx of Depo-provera (aka injectable one)? (3 things)

A
  1. Weight gain
  2. Irreg bleeding
  3. Delayed infertility (up to 12 months)

#passmed 2023 (39 decks)

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