Contraception Flashcards

1
Q

if one pill missed

A

take immediately and contibue as normal

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2
Q

how do the hormonal coils work?

A

effect on implantation as the endometrium is rendered unfavourable effect on mucous

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3
Q

what is levonella and how does it work?

A

high dose progesterone works before the lh surge to delay ovulation

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4
Q

what is the implant and how long does it last?

A

progesterone 3 years

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5
Q

main surgical procedure in Scotland for abortion

A

vacuum aspiration

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6
Q

ova live in the female genital tract for

A

24 hours

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7
Q

what are ukmec risk factors for vte

A

obesity smoking age thrombophilia vte in first degree relative up to 6 weeks post natal long haul flights reduced mobility aps

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8
Q

if two pills missed

A

take immediately and take 7 days of barrier contraception

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9
Q

sperm lives in the female genital tract for

A

5 days

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10
Q

how can someone be reasonably certain they are not pregnant?

A
  • no sex since last period - in first 7 days of onset of menstrual period - correctly using reliable contraception - non breatfeeding woman 4 weeks postpartum - 7 days post abortal - breast feeding woman ammenorhoeic up to 6 months post partum - negative pregnancy test 3 weeks after last upsi
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11
Q

how long after upsi can you use levonella as a form of emergency contraception?

A

72 hours

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12
Q

how long after upsi can you use iud as a form of emergency contraception?

A

5 days

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13
Q

when can you not use ella one?

A

if hormonal contraception has been used within the last 7 days or is breast feeding

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14
Q

how does the iud work as contraception

A

prevents fertilisation inflammatory response in endometrium

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15
Q

how does desogestel work?

A

inhibits ovulation effect on cervical mucous effect on fallopian tube transport effect on endometrium

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16
Q

chc reduces what in the coag cascade

A

antithrombin 3 and protein s

17
Q

how does the patch work ?

A

o + p inhibits ovulation but has effects on the cervical musous and on endothelium one a week

18
Q

how long after upsi can you use ella one as a form of emergency contraception?

A

120 hours

19
Q

vag prostaglandin in late or mid trimester in abortion will need

A

repeated doses

20
Q

what is ella one and how does it work?

A

anti progesterone used after the lg surge to delay ovulatiohn

21
Q

when can the implant be inserted?

A

up to or on day 5 of ovulation or when reasonably certain not pregnant

22
Q

how does the iud work in emergency contraception

A

toxic to sperm and ova anti implantation

23
Q

what are the three main types of emergency contraception

A

iud levonella ella on e

24
Q

how does the ring work

A

one every 3 week s o + p inhibits ovulation but has effects on the cervical musous and on endothelium

25
Q

what does the coc contain?

A

oestrogen and progesterone

26
Q

how long does the ius mirena work for?

A

5 years

27
Q

medical abortion

A

oral mifepristone (antiprogesterone) 24-48 hours later - vag prostaglandin (misoprostol)

28
Q

other name for progesterone only pill

A

desogestel

29
Q

how does the coc work?

A

inhibits ovulation effect on mucous effect on endometrium

30
Q

when can you start the coc?

A

within the first 5 days of a period or when reasonably certain not pregnant

31
Q

what is depo provera and how does it work?

A

every 13 weeks but will last 14 progesterone only inhibits ovulation but has effects on the cervical musous and on endothelium

32
Q

how long does the ius jaydess work for

A

3 years

33
Q

how does the implant work?

A

inhibits ovulation effect on mucous effect on endometrium

34
Q

when would you have the option of having the second stage of medical abortion at home?

A

<9 weeks

35
Q

biggest risk of coc

A

arterial and venous thrombosi

36
Q

when can coils be inserted?

A

within first 7 days of a period