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AMC > GYN > Flashcards

GYN Flashcards

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1
Q

Hormonal

A

1-COC/OCP/Oral pill
2- POP/mini pills
3- Injectables
4- Implants
5- Emergency contraception

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2
Q

IUCD

A

Inert devices
Iucd

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3
Q

Barrier Methods

A

Condoms
Diaphragms
Cervical caps
Vaginal vault caps
Spermicides

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4
Q

Progestogen

A

First generation: Norethisterone acetate (NET) - Ethynodiol acetate - Lynestronol

2nd: Laevonorgestrol( LNG)

3rd : generation: gestogen - Destogestrel - Cyproterone acetate-Gestodene. (PCOS)

4th: Drospirenone ( less androgenic but increased risk of DVT)

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5
Q

Diane 35 (less androgenic preparations)

A

EE+ cyproterone acetate(3rd)
Use for hirsuitism and acne

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6
Q

Marvelon (less androgenic preparations)

A

EE+ Desogestral
Used for acne

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7
Q

Yasmin (less androgenic preparations)

A

EE+Drospirenone. (Aldosterone antagonist)

Used for PMS, ACNE
RISK: VTE
Being mild diuretic, it causes decreased bloating and fluid retention.

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8
Q

Biphasic pill

A

Reduce incidence of breakthrough bleeding and spotting

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9
Q

Triphasic pill

A

A-Change both Estrogen and Progestron
B- given for women with acne
C-

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10
Q

COC absolute CI

A

1)Stroke

2)Age >or =35 years and smoking >/= 15 cigarettes per day.

3) Diabetes complicated by nephropathy, retinopathy or vascular disease.

4) Estrogen dependent tumors like breast cancer.

5) Active liver disease( active hepatitis, adenoma/ hepatoma, cancer, severe cirrhosis).

6) Known thrombogenic mutations( Factor 5 Leiden/ Prothrombin mutations, Protein S and
Protein C and antithrombin deficiencies)

7)Raynaud’s with lupus anticoagulant.

8) SLE with antiphospholipid antibodies.

9) BMI >/ = 40 .

10) Major surgery with prolonged immobilisation.

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11
Q

COC absolute CI cont…

A

11) Pregnancy

12) Breast feeding and </= to 6weeks post partum

13) Current or past history of VTE

14) Vascular disease

15) Presence of multiple risk factors for CVD like older age, smoking

16) HT with systolic >/=160 or diastolic >/= 100 mm Hg

17) Complicated valvular heart disease( pulmonary HT, atrial fibrillation, h/o sub acute bacterial endocarditis)

18) Current or past history of IHD

19) Migraine with aura and focal neurological symptoms

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12
Q

COC relative CI

A

1) Adequately controlled HT

2) HT(systolic 140-159/ diastolic 90-99)

3) Migraine over 35 years

4) Current gall bladder disease

5) Mild cirrhosis

6) H/o COC related cholestasis

7) Smoker over age of 35 years(<15/day)

8) Use of medications interfering with COC metabolism

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13
Q

COC advantages

A

Decreased menorrhagia, dysmenorrhea and pre-menstrual syndrome

Periods become shorter, lighter and regular

Decreased iron deficiency anaemia

Decreased benign breast disease, PMS

Decreased incidence of functional ovarian cysts, sebaceous disorders (acne)

Decreased incidence of cancer of ovary,
endometrium and colon

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14
Q

COC side effect

A
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15
Q

COC precautions

A
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16
Q

Missed Pill

A
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17
Q

COC different use

A

diane 35

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18
Q

Delaying periods

A
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19
Q

POP ( mini pill)

A
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20
Q

POP INDICATION

A

Could be used in contraindications to estrogen content of COC

In DM, Migraine with aura, lactation, HT, history or current DVT/VTE IHD, stroke, biliary tract disease, Raynaud’s with lupus anticoagulant

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21
Q

POP CONTRAINDICATION

A
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22
Q

POP ADMINISTRATION

A
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23
Q

Pop side effects

A

1- irregular bleeding ( 40%)
2- Amenorrhea (20%)
3- Breast tenderness
4- Headache
5- Risk of of getting follicular ovarian cysts

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24
Q

POP: Missed Pills

A
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25
DEPO MPA
26
DEPO MPA PROS AND CONS
27
IMPLANTS
28
IMPLANON
29
IMPLANON CI
30
IMPLANON SIDE EFFECTS
31
Implants
32
Emergency contraception 1
33
Emergency contraception 2
34
Emergency contraception 3
35
Emergency contraception types
36
LNG Pill ( oral emergency contraception)
37
LNG Pill ( oral emergency contraception) contraindications
38
LNG Pill ( oral emergency contraception) action + S/E
39
Ulipristal ( UPA) (oral emergency contraception)
40
UPA
41
COPPER IUCD ( EMERGENCY CONTRACEPTION)
42
IUD
43
LNG IUD (MERNA)
44
LNG CI ABSOLUTE
45
LNG CI RELATIVE
46
LNG IUD AD AND DISAD
47
LNG IUD SE
48
IUCD SE
49
Vaginal Ring
50
Women <18 yrs
51
Women>40 yrs
52
Post partum contraception
53
Family planning
Women with VTE: Progestogen ONLY methods. Women having migraine with aura or women>35 who develop migraine without aura during use of COC: Progestogen ONLY methods.
54
Abnormal uterine bleeding DUB
55
DUB
56
DUB CAUSE INV
57
DUB MX
58
Acute Menorrhagia
59
Fibroids
60
Fibroids cont..1
61
Endometriosis sites on

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