11 - Gynae - Contraception - Combined Methods Flashcards

1
Q

COCP
main mech?
2 other mechs?

A

inhibit ovulation

thin endometrium and thicken cervical mucus

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2
Q

COCP

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

A

one
3
1
menstruation

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3
Q

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 ?

A

consecutive
break
withdrawal bleed
irregular

highly
high

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4
Q
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
A
cycle
dysmenorrhea
menorrhagia
premenstrual
acne
simple ovarian
endometriosis and fibroids
PID
ovarian, endometrial and bowel
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5
Q

COCP - 3 common things that reduce its absorption

A

D + V + Oral Abx

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6
Q

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
A

1 or 2
anywhere

low
condoms
7

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7
Q

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
A
pregnant
smoker
35
year
35
ST Johns Wort, Rifampicin, Epilepsy (anticonvulsants)
VTE's
HTN
Cardiac
stroke
migraines
aura
breast
gallbladder
DM
DM
20
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8
Q
COCP - SE's
most common are 
-?
-headache
-? tenderness
-? bleeding - first few ?
-suppressed ? - CI'd  weeks postpartum
A
nausea
breast
breakthrough
months
lactation
6
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9
Q

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) ?

A
COCP
weekly
3
patch free
EVRA
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10
Q

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 ?
A
nuvaring
pattern
3
1
tolerated
systemic estrogen
sex
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