Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Reproduction > Non LARC contraception > Flashcards

Non LARC contraception Flashcards

1
Q

What determines choice of contraception?

A

Effectiveness

Control ** (most common determinant)

Long/Short term

Non-contraceptive benefits

Procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which methods fall under the combined hormonal conception (CHC) bracket?

A

Pill

Patch

Vaginal ring

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How efficient is CHC?

A

Failure rate:
Perfect use = 0.3%
Typical use = 9%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How to take combined oral contraception

A

Start in first 5 days of cycle

OR

At any time in cycle when reasonably sure not pregnant + condom for 7 days

Take daily for 21 days followed by a 7 day break

Withdrawal period - occurs upon withdrawal of contraception

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Factors affecting effectiveness of CHC

A

Impaired absorption
– GI conditions (COC)

Increased metabolism
– Liver enzyme induction,
Drug interaction

Forgetting :(

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Risks of COC

A

Venous thromboemolism
- varies according to EE dose and progesterone type, as well as risk factors

Arterial thrombosis

Adverse effects on some cancers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the VTE risk in pregnancy per 10,000 women?

A

21-30/10,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the postnatal VTE risk per 10,000 women?

A

130-140

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Circulatory SE of COC

A 
Systemic hypertension 
- COC use shows a small 
increase in blood pressure
 in some individuals. 
Must therefore check initially, 
at 3 mths then annually

Arterial disease

  • May be small increased risk of MI in COC users, particularly smokers
  • ?increased risk of ischaemic stroke in COC users
  • Hypertensive COC users (systolic ≥160 mmHg, diastolic ≤ 95 mmHg) are at higher risk of MI and stroke than hypertensive non-COC users`

Migraine with Aura - increases the risk of ischaemic stroke - CHC USE IS CONTRAINDICATED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Contraindications to COC

A
  1. Migraine with aura

2. Age > 35 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Unwanted effects - Cancer

A

Breast Cancer
Cervical cancer
- Small increased risk with long term use (>5 yrs)
- Reduces to baseline 10 years after stopping
- Discuss HPV/condom use
- Check up to date with cervical screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Examinations before commencing

A

BP and BMI before first prescription

Check smear status if relevant

Are there multiple risk factors? - UKMEC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Benefits of CHC

A
  1. Protection against ovarian and endometrial cancer
  2. Acne treatment (Dianette, but increased risk of clotting)
  3. Less bleeding
  4. Reduced risk of cysts
  5. Reduced PMS
  6. PCOS - keeps endometrium thin, gives a withdrawal bleed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Side effects of CHC

A

Nausea
Bleeding
Breast tenderness
Spots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How to take/start progestogen only pill

A

Take it every single day without a break

Day 1 – 5 of period
OR
Anytime if reasonably certain not pregnant plus condoms 7 (2 for POP) days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Risk of subdermal implants and progestogen only pill

A

Little effect on metabolism

Can be given in most circumstances

‘safer than pregnancy’ – UKMEC 3

UKMEC4 = current breast cancer

Irregular bleeding

17
Q

Which contraceptive method has a high chance of amenorrhea and is highly effective?

A

Depo Provera

Sayana Press

18
Q

Consequence of Depo Provera / Sayanna Press?

A

Suppress FSH
Lowers estradiol

Therefore causes:
Osteopaenia
Post menopausal state

19
Q

CI of Depo

A

Family history of bone problems

20
Q

When is the use of diaphragm indicated?

A

Contraindicated for hormonal treatments

Irregular sexual activity

21
Q

Important numbers to remember when using diaphragm

A

Needs to remain in the vagina for 6 hours post sex

If you put spermicide and don’t have sex within 3 hours you need to reapply the spermicide. Also reapply spermicide if you have sex again

22
Q

Content to cover during vasectomy counselling

A

Risks and benefits

Vs female sterilisation/other methods

Regret – reversal?

Pearl index = 0.1 (1 in 2000 0.05% after clearance has been given)

23
Q

What techniques can be used during vasectomy?

A

Local or general anaesthetic

No scalpel technique

24
Q

Complications of a vasectomy

A

Failure - early (non compliance)

Pain & bleeding

Anaesthetic

Infection

Post vasectomy seminal analysis - late – motile or >100 000 non- motile sperm at 7 mths

25
Q

What is a female sterilisation?

A

Clamping of fallopian tubes

Reproduction (32 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions