Repro - Contraception Flashcards
Combined mechanism
Inhibits ovulation, thickens cervical mucous, stops implantation
Combined SE
Weight gain, hypertension, headache
Progestogen only mechanism
Stops implantation and thickens cervical mucous
Progestogen only SE
Erratic bleeding at first
Progestogen only injection mechanism
inhibits ovulation
Progestogen only SE
Osteoporosis
Weight gain
Contraindications to pills
- Hypertension
- Migraine with aura
- History of VTE
- Active breast cancer
- Vascular disease
- Smoking
- Heart disease
- SLE
- Liver cirrhosis
Progestogen only implant (Mirena IUS) mechanism
Inhibits ovulation
thickens cervical mucous
Prevents implantation
IUS SE
Long return to fertility
Ejection
Copper IUD mechanism
Toxic to sperm and prevents implantation
Copper IUD SE
Contraindicated in Wilsons
Ejection
Emergency contraception
Levonorgestrel (72 hours)
Ulipristal (120 hours)
Copper coil (120 hours)
Coils contraindications
Pelvic inflammatory disease or infection
Unexplained bleeding
Pelvic cancer
Uterine cavity distortion (fibroids)
HRT increases risk of
VTE
Breast and endometrial cancer
Menopause definition
>1 year no period