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STI's > Emergency Contraception > Flashcards

Emergency Contraception Flashcards

1
Q

What is the medical name of Levonelle?

A

Levonorgestrel

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2
Q

What is levonelle composed of?

A

Progesterone only tablet

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3
Q

Up until when can levonelle be taken after sex?

A

Up to 3 days after (72 hours)

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4
Q

When might you need to double the dose of levonelle?

A

For those with a BMI >26 or weight over 70kg

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5
Q

What happens to the efficiency of levonelle as time goes on after intercourse?

A

The efficiency decreases

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6
Q

How does levonelle work?

A

Stops ovulation and inhibit implantation

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7
Q

What should be given if the patient vomits within 3 hours of taking levonelle?

A

A repeat dose should be given

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8
Q

Can levonelle be taken more than once in one menstrual cycle?

A

Yes if clinically indicated

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9
Q

Can patients return to regular contraception immediately after taking levonelle?

A

Yes

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10
Q

What are the possible side effects of levonelle?

A

Headache
Nausea
Dysmenorrhoea

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11
Q

What is the medical name of EllaOne?

A

Ulipristal

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12
Q

What is EllaOne composed of?

A

Progesterone only

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13
Q

What is the main function of EllaOne?

A

Inhibition of ovulation

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14
Q

Up until when can EllaOne be taken after intercourse?

A

5 days (120 hours)

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15
Q

What can Ulipristal reduce the effectiveness of?

A

Hormonal contraception

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16
Q

When can contraception with the pill, patch or ring be started/restarted after taking ellaone?

A

5 days after

17
Q

Who would need to be careful with taking EllaOne?

A

Asthmatics

18
Q

Can ulipristal be used more than once in the same cycle?

A

Yes

19
Q

How long after taking Ulipristal should breastfeeding be delayed?

A

Breastfeeding should be delayed for one week after taking ulipristal

20
Q

What is the most effective form of emergency contraception?

A

A copper IUD

21
Q

What are the possible side effects of EllaOne?

A

Headache
Nausea
Dysmenorrhoea.

22
Q

When should a copper IUD be inserted after intercourse to be effective?

A

Within 5 days

23
Q

If a woman presents after 5 days after UPSI, when can the copper IUD be fitted?

A

Up to 5 days after the likely ovulation date

24
Q

How does the copper IUD work?

A

May inhibit fertilisation or implantation

25
Q

How effective is the copper IUD?

A

99% effective regardless of where it is used in the cycle

26
Q

What are the contraindications of the copper IUD?

A

Abnormal uterine anatomy
Unexplained vaginal bleeding
Pelvic inflammatory disease
Between 48 hours and 28 days postpartum

27
Q

What does the copper IUD not affect?

A

Menstrual regularity

28
Q

What are possible side effects of the copper IUD?

A

Heavier, more painful periods

29
Q

What is the copper IUD not affected by?

A

Any other medication

STI's (14 decks)

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