11 - Gynae - Contraception - Combined Methods Flashcards Preview

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Flashcards in 11 - Gynae - Contraception - Combined Methods Deck (10):
1

COCP
main mech?
2 other mechs?

inhibit ovulation

thin endometrium and thicken cervical mucus

2

COCP
? tablet a day for ? weeks then stopped for ? week to allow ?

one
3
1
menstruation

3

COCP - can take packets ? without a ? to reduce the freq of the ? ? - increased ? spotting may occur

if taken properly - ? effective, if not, failure rates are ?

consecutive
break
withdrawal bleed
irregular

highly
high

4

COCP
also useful for...
- Menstrual ? control
o ? + ?
o ? symptoms
o ?/hirsutism
o Recurrent ? ? cysts
o Protection against ? & ?
o Reduced risk of ???
o Reduced incidence of ?, ?
and ? CA

cycle
dysmenorrhea
menorrhagia
premenstrual
acne
simple ovarian
endometriosis and fibroids
PID
ovarian, endometrial and bowel

5

COCP - 3 common things that reduce its absorption

D + V + Oral Abx

6

COCP
- For standard-strength pills, ? or ? missed pills ? in the pack will not cause a problem
- if a ? dose is being given only 1 pill can be missed
- if more than this has been missed then ? should be used for ? days

1 or 2
anywhere

low
condoms
7

7

COCP - You should not take the pill if you:

are ?
? and are ? or older
stopped smoking less than a ? ago and are 35 or older
BMI > ?
take enzyme inducers - ? ? ?, ?, ? drugs
get ???'s or a FHx (under 45's)
have ??? or any ? disease
history of ?
severe ?, esp if with ?
? cancer
disease of the ? or liver
?? with complx or ?? for the past ? years

pregnant
smoker
35
year
35
ST Johns Wort, Rifampicin, Epilepsy (anticonvulsants)
VTE's
HTN
Cardiac
stroke
migraines
aura
breast
gallbladder
DM
DM
20

8

COCP - SE's
most common are
-?
-headache
-? tenderness
-? bleeding - first few ?
-suppressed ? - CI'd weeks postpartum

nausea
breast
breakthrough
months
lactation
6

9

Combined Transdermal Patch
-efficacy, side effects and contraindications are similar to ????
-new patch applied ? for ? weeks in a row - followed by a ? ? week
Called (patrice) ?

COCP
weekly
3
patch free
EVRA

10

Combined vaginal ring - called ?
-same ? as other combined methods - ? weeks in and ? week out
-may be better ? than COCP due to lower ? ? side effect
-do not remove during ?

nuvaring
pattern
3
1
tolerated
systemic estrogen
sex

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