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Y5 > Contraception > Flashcards

Contraception Flashcards

1
Q

IUD Mechanism of Action

A

Prevents Fertilization and Implantation

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2
Q

LNG Method of Action

A

Delays ovulation up to when LH Surge STARTS

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3
Q

UPA Method of Action

A

Delays Ovulation up to when LH Surge PEAKS

uPa - Peaks

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4
Q

Up to when can you give LNG?

A

72 Hours

3 Days

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5
Q

Up to when can you give Ulipristal?

A

120 Hours
(5 Days)
Gai te2oli delwakty ?

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6
Q

When can you fit emergency IUD

A

5 Days after UPSI
or
5 Days after earliest ovulation

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7
Q

When method is affected by enzyme inducers?

A

UPA (Avoid it)

Double LNG dose

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8
Q

Enzyme inducers

A 
Anti-Epileptics
Anti-retroviral
Anti-tb
Saint John's
(Ditch UPA and double LNG)
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9
Q

Drug interactions with UPA

A

Enzyme Inducers

Drugs that increase gastric pH

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10
Q

Ulipristal contraindications

A

Severe Asthma `

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11
Q

LNG Contraindications

A

No contraindications

Double when using enzyme inducers

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12
Q

Why is Ulipristal contraindicated in severe asthma?

A

Anti glucocorticoid effect of UPA

Severe asthma controlled by glucocorticoid

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13
Q

Ulipristal medical contraindications

A 
Severe Asthma
Breast Feeding (Discard milk for 7 days)
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14
Q

Weight and contraceptives

A

LNG Less effective

70+ Kg or BMI >26

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15
Q

Effects of LNG / UPA on pregnancy / fetus

A

Safe

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16
Q

When can you start taking hormonal contraceptives after LNG / UPA

A

LNG - Right away

UPA - 5 Days after

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17
Q

UPA and hormonal contraception

A

Wait 7 days after hormonal contraceptive to give UPA

Wait 5 days after UPA to give hormonal contraception

18
Q

Contraindicated drugs / UPA

A

Oral Steroids
Drugs that reduce pH
Enzyme Inducers
Hormonal Contraception (5 after / 7 days before)

19
Q

Vomiting after oral ec management

A

Repeat Dose
or
Consider IUD

20
Q

Effect of EC on period

A

Starts within 7 days of expected time

Irregular Bleeding

21
Q

How long does unfertilized egg last for?

A

24 Hours

22
Q

Ovulation date calculation

A

Period length - 14 Days

Earliest Ovulation Calculation

23
Q

When is the earliest ovulation after giving birth ?

A 
21 Days (3 Weeks)
(Start contraception after giving birth by 3 weeks)
24
Q

Earliest ovulation after ectopic / miscarriage / abortion

A

8 Days

Start contraception within 5 days

25
Q

How long does it take fertilized egg to implant ?

A

5 Days

26
Q

How long after UPSI should you do pregnancy test?

A

3 Weeks

27
Q

How many days does the sperm survive?

A

5 Days

28
Q

How many days does it take for fertilized egg to implant

A

5 Days

29
Q

Physiology of LAM

A

Prolactin Increase - Reduced Gonadotrophins Release - Reduced LH / FSH

30
Q

When is LAM effective

A

Full Breast Feeding
No Periods
Less than 6 months post partum

31
Q

Spermicide

A

Apply 15 Mins Before

No douching 6 hours after

32
Q

How does estrogen work as a contraceptice?

A

Inhibits ovulation through suppression of axis

33
Q

Why is progesterone given with estrogen

A

Balance

Add Suppressive effect on axis

34
Q

Combined pills method of action

A

Used for 21 days - endometrium support
Withdrawal bleeding 2/3 days after stopping
Start new course on 5th day

35
Q

How do OCP work ?

A

Inhibition of ovulation
Increasing tube secretions
Edema / Atrophy of EM Glands

36
Q

Which cancers are reduced with OCP

A 
EM (Opposing Progesterone)
Ovarian
Endometriosis (Opposing Progesterone)
37
Q

Which cancers are reduced with OCP

A 
EM (Opposing Progesterone)
Ovarian
Endometriosis (Opposing Progesterone)
38
Q

OCP Side effects

A

TE Disorders
Liver (Cholestasis)
Decreased lactation (Estrogen Effect)

39
Q

Depo Provera Dose

A

150mg IM Every 3 Months

UO Quadrant Buttock

40
Q

Sayana Press Dose / Application

A

104mg

Abdomen

41
Q

Side effects of shots

A

Depression
Weight Gain
Delay in fertility return

Y5 (6 decks)

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