Types of contraception Flashcards
When can you raw-dog it after starting the POP
straight away if taken on or before day 5 of cycle
after 2 days of barrier contraception if after day 5 of cycle
MoA of POP
old vs desogestrel
Old- thickens cervical mucous
deso- thickens cervical mucous and inhibits ovulations
took desogestrel 4 hours late.. is this ok?
yes, can take up to 12 hours late
and then take the next pill as normal
(for older POP types, need to take within 3 hours of normal time)
missed desogestrel more than 12 hours late (so more than 36 hours since last pill)… what do you do now
take the missed pill asap and take the next pill at the usual time
barrier contraception needed for 48 hours after POP is re-established
when can you insert IUD/IUS after birth
within 48 hours or after 4 weeks
when can you start POP after birth and if breastfeeding
POP is fine to start anytime
also can take POP when breastfeeding
mum is breastfeeding, when can she re-start COCP
at 6 weeks
mum isn’t breast feeding, when can she start COCP again
after 6 weeks
(can maybe start after 3 weeks if no other risk factors)
BMI 35 or above
UKMEC for COCP?
UKMEC3 (so dont use)
BMI between 30 and 34
UKMEC for COCP?
UKMEC2 (so OK)
Induction of the CYP450 system is important to consider in people who would like contraception
which high-yield drugs induce CYP450
rifampicin
phenytoin
carbamazepine
Pt is on enzyme inducing drugs (carbamazepine),
what contraception can they take?
Depot
IUS
IUD
At what weight (Kg) do you have to double dose of emergency contraception
70kg
only one type of emergency contraception needs dose to be doubled
which emergency contraception type requires double dose if patient over 70kg
levonorgestrel
(this is the one that is a high dose of progesterone)
With which type of emergency contraception can hormonal contraception be quick-started at the same time
levonorgestrel
(just a high dose of progesterone)
