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Patient > Contraception I > Flashcards

Contraception I Flashcards

1
Q

what is DMPA?

A

INJECTION
progesterone only
depo provera

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2
Q

what is POEC?

A

progesterone only emergency contraception

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3
Q

if no contraception when is day one of the cycle?

A

first day of the period

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4
Q

if on contraception when is day one of the cycle?

A

first pill in the pack

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5
Q

___% of women ovulate on day 14

A

20

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6
Q

contraception aims to prevent ______

A

ovulation

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7
Q

TF: you can get oestrogen only pills.

A

no its dangerous- cant have unopposed oestrogen as it makes the uterine lining grow

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8
Q

oestrogen is always used…..

A

in combination with progesterone

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9
Q

COC is generally taken…..

with or without a break?

A

every day without a break

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10
Q

brands of COC

A

microgynon
microgynon ED/ zoely
logynon
logynon ED/ qlaira

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11
Q

type of pill is microgynon?

A

21 day monophonic
1 daily
7 day HFI

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12
Q

what type of pills are microgynon ED/ zoely

A

28 day monophasic
1 daily
no HFI

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13
Q

WHAT TYPE OF PILLS ARE LOGYNON

A

21 day phasic
1 a day
7 day HFI

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14
Q

what type of pills are logynon ED and qlaira?

A

28 day phasic

1 daily

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15
Q

what is an ED pill?

A

placebo
sugar pils
help people who forget

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16
Q

combined patch:
name?
what type of contraception?

A

evra
1 patch weekly for 3 weeks
7 day patch free interval

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17
Q

COC: vaginal ring
name?
what type of contraception?

A

Nuvaring
inserted into the vagina for 21 days
7 day ring free interval

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18
Q

examples of oral POCs

how is it taken?

A

noriday- norethisterone
desogestrel- cerazette

28 days, 1 daily

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19
Q

TF: norethisterone injection is the same as DMPA?

A

no but are similar

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20
Q

how often do you have the DMPA?

A

8 or 12 weekly

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21
Q

how often do you have the norethisterone injection?

brand name?

A

every 8 weeks

nexplanon

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22
Q

intra uterine device/ system is also known as?

A

LARC: long acting reversible contraceptive

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23
Q

how often do you change LARCs

brand names?

A

every 3 years for Jaydess

every 5 years for mirena

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24
Q

spermicide gel brand name?

what must these be used with?

A

nonoxyl

with other barrier methods

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25
Q

what are diaphragms made of?

how long must it be kept in place?

A

silicone polyurethane
single use
keep in place for 6 hours after use!

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26
Q

what types of pills can be used to up regulate bleeding?

A

monophonic pills with a 7 day HFI

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27
Q

what are the pills in 28 day cycles?

A

21 active and 7 ED sugar pills

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28
Q

example of a triphasic pic?

A

Zoely 24+4

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29
Q

what is a feature of POPs compared to COCs?

A

no HFI

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30
Q

Do you have periods on POPs?

A

light periods or stop having them all together

can have break through period

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31
Q

example of a traditional POP?

A

northisterone

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32
Q

example of a newer POP

A

desogestrel

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33
Q

TF: tailored COC regimens are licences

A

FALSE- they’re unlicensed

Rxers know this

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34
Q

example of a tailored COC regimen?

A

21 days then only a 4 day HFI

35
Q

contraceptive patches releases?

A

oestrogen and progesterone

36
Q

vaginal rings release?

A

oestrogen and progesterone

37
Q

for the medroxyprogesterone (DMPA) what is the IM dose?

A

150mg every 8-12 weeks

38
Q

for the medroxyprogesterone (DMPA) what is the SC administration

A

104mg every 13 weeks

39
Q

is there leeway in time when giving the DMPA?

A

no, needs to be exact or won’t be covered

40
Q

is the contraceptive implant POC or COC?

A

POC

41
Q

implant brand name and strength

how often

A

etongestrel 68mg

3 years

42
Q

mirena IUS needs to be changed every ____ years?

A

5

43
Q

jayvees IUS must be changed every ____ years

A

3

44
Q

do you have contraceptive cover in the HFI?

A

Yes as long as you’ve taken properly for the last 3 weeks

45
Q

primary action of COCs?

A

inhibit ovulation

thicken cervical mucus and change endometrium so implantation cant occur as easily

46
Q

why cant oestrogen be taken alone? what does adding progesterone do?

A

endometrial proliferation- cancers

progesterone opposes proliferation

47
Q

how do POCs work?

A

suppress ovulation
thickens mucus and delays ovum transport
renders endometrium hostile

48
Q

how do POCs delay ovum transport?

A

reduce the cilia activity in Fallopian tubes needed to bean the ovum down the tubes

49
Q

what effect do synthetic oestrogen have on FSH? effect of this?

A

inhibit FSH release by negative feedback

surpasses follicular development

50
Q

can you get pregnant if you have sex on your period?

A

yes, less likely but never impossible

51
Q

COC and POC effectiveness if perfect use?

A

0.3%

52
Q

COC and POC effectiveness with typical use?

A

8%

53
Q

implant
IUD
IUS
risk of user failure/ user dependent methods?

A

all 99%/99%

54
Q

injection
risk of user failure/ user dependent methods.
why different?

A

99%/94%

as sometimes dont show up to appoointments

55
Q

condom effectiveness?

A

male: 98%
female: 95%

56
Q

diaphragm or cap with spermicide effectiveness?

A

96%

57
Q

is sterilisation 100% effective?

A

no

58
Q

does breastfeeding stop you getting pregnant?

A

yes but only if you meet certain criteria

59
Q

what is Lactational amenorrhoea?

A

stopped periods during breast feeding

60
Q

what is the efficacy of lactational amenorrhoea if all conditions apply?

A

98%

61
Q

what are the conditions needed for 98% efficacy of lactational amenorrhoea?

A 
breastfeeding fully or mostly breastfeeding (and sometimes other liquids given) 
AND 
baby is under 6 month s
AND 
amenorrhoeic- no periods
62
Q

risk of pregnancy in lactational amenorrhoea increases if?

A

breastfeeding reduces
long intervals between feeds
night feeds cease and use supplement feeding

63
Q

TF: the risk of pregnancy doesn’t come back after 6 months if you have frequent feeding?

A

False, it decreases after 6 months regardless

64
Q

advantages of COCs?

A

lighter menstural period
can decrease pain
regulates

65
Q

disadvantages of COCs

A

minor ADRs

increase BP, MI, stroke, venous thromboembolism, breast cancer, blood clots (oestrogen)

66
Q

what are COCs minor ADRs?

A 
nausea
breast tenderness
weight gain 
libido loss
discharge 
breakthrough bleeding
67
Q

what about COCs can cause blood clots?

A

oestrogen

68
Q

advantages of POCs?

A

high efficacy
suitable when COCs aren’t
decreased risk of endometrial cancer

69
Q

disadvantages of POCs?

A

menstural irregularities
efficacy in overweight people
increased risk of ovarian cysts, octopic pregnancy, breast cancer

70
Q

ADRs of POCs?

A 
acne
headaches
depression 
libido loss
weight gain 
vaginal dryness
71
Q

efficacy of POCs _____ with higher weight

A

DECREASE

72
Q

COC: definition of a missed pill?

A

> 24 hours late

73
Q

if starting COC on day 6 or later what must you do?

A

add precautions for 7 days till cover is built

74
Q

when is missing pills most critical for COC?

A

start or end of cycle as it increases the HFI

75
Q

when must you use EHC on COCs

A

if 2 or more missed in 24 hours

ovaries wake up

76
Q

definition of a missed pill on POP?

A

> 3/ 12 hours late

77
Q

when is EHC indicated in POP?

A

if one or more pills missed and haven’t had 2 days to rebuild cover

78
Q

how long does it take to build up cover of POP?

A

2 days

79
Q

how else can cover be compromised on the pill?

A

vomiting and persistent diarrhoea within 3 hours of taking

80
Q

UKMEC chart for using COC?

category 1-4?

A

describes conditions in which you can/ cant take pills

1: you can have the pill safely
4: POP is more helpful, shouldn’t give oestrogen e.g. had breast cancer

81
Q

what would you give to a category 4 patient who wants a contraceptive pill

A

POP- no oestrogen

82
Q

examples of category 4 conditions in which you cant give COC due to the oestrogen

A 
breast feeding women <6 weeks post party 
women who smoke >15 and are over 35 years old 
CVD risks 
high BP 
vascular disease
migraine WITH aura 
breast cancer (current) 
systemic lupus
83
Q

what is given to lessen menstural bleeding?

A

northisterone 5mg

84
Q

how does the copper IUD work?

A

creates a mild inflammatory state in the uterus

Patient (19 decks)

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