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Contraception Flashcards

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1
Q

Dianette (co-cyprindiol) is licenced for which two conditions?

A

Severe acne
Mod-severe hirsutism

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2
Q

Evra patch - how to use

A

Wear for first three weeks, changing patch every week
Followed by 1 week patch free where bleed will occur

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3
Q

Evra patch
What to do if the patch change is delayed at the end of week 1 or 2

A

< 48 hours
Change immediately
No further precautions

> 48 hours
Change immediately
Barrier method for the next 7 days
If UPSI in the last 5/7 then emergency contraception

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4
Q

Evra patch
What to do if the patch removal is delayed at the end of week 3

A

Remove immediately
New patch on usual cycle start day

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5
Q

Evra patch
Patch application is delayed at the end of a patch free week

A

Barrier contraception for 7/7

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6
Q

Reduced risk of which cancers when taking COCP (3)

A

Ovarian and endometrial and bowel

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7
Q

Increased risk of which cancers with COCP (2)
Other risks (3)

A

Breast and cervical
VTE, stroke, IHD

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8
Q

Missed pill rules for Qlaira
When is the pill classed as late?

If a woman has missed >2 pills then?

A

If it is taken >12 hours late

Emergency contraception

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9
Q

If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
If missed on day 27/28

A

Discard forgotten tablet, continue tablet taking in normal way
No further contraception

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10
Q

If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
Day 25/26

A

Take missed pill and next tab at usual time
No further contraception

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11
Q

If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
Day 18-24

A

Discard packet, start from day 1 again
Additional contraception for 9/7

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12
Q

If only 1 pill is missed (Qlaira) then it is dependent on where in the cycle it is missed.
Day 1-17

A

Take missed pill immediately and next tab at usual time
Additional contraception for 9/7

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13
Q

age < 35 years and smoking
UKMEC

A

UKMEC 2

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14
Q

age > 35 years and smoking > 15 cigarettes/day
UKMEC

A

UKMEC 4

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15
Q

age > 35 years and smoking < 15 cigarettes/day
UKMEC

A

UKMEC 3

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16
Q

COCP
UKMEC 2 and 3 for BMI

A

30-34 UKMEC2
>=35 UKMEC3

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17
Q

COCP
Migraine with aura
Without aura
UKMEC

A

UKMEC 4
UKMEC 3 for continued prescribing
Contraindicated

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18
Q

Epilepsy taking phenytoin,carbamazepine, barbiturates, primidone, topiramate, oxcarbazepine
UKMEC
COCP
POP
Implant
Depo
IUD
IUS

A

COCP
POP
UKMEC 3

Implant UKMEC 2

Depo, IUD, IUS UKMEC 1

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19
Q

Epilepsy on lamtrogine
COCP
POP, implant, depo, IUD, IUS

A

UKMEC 3 COCP
UKMEC 1

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19
Q

Epilepsy on lamtrogine
COCP
POP, implant, depo, IUD, IUS

A

UKMEC 3 COCP
UKMEC 1

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20
Q

norethisterone
levonorgestrel
ethynodiol diacetate
Are all types of?
How late can it be taken?

A

POP second generation
3 hours

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21
Q

Desogestrel (Cerazette) is what type of contraception?
How does it work?
How late can you take it?

Study These Flashcards
A

POP third generation
Inhibits ovulation
Can take the pill up to 12 hours kate

22
Q

POP missed pills explained

Study These Flashcards
A

Take the missed pill as soon as possible (only 1)
Condoms for a further 48 hours

23
Q

POP counselling
SE (1)
Starting the POP (when in the cycle and protection)
Break or no pill break needed

Study These Flashcards
A

Irregular bleeding
If commenced between day 1 and 5 of cycle then immediate protection, otherwise condoms for the first two days
No pill break

23
POP contraindications (UKMEC 4) (2)
Pregnancy Breast ca in last 5 years
24
POP UKMEC 3 (4)
Active liver disease Breast ca > 5yo Undiagnosed vaginal bleeding IHD/stroke
25
Postpartum contraception options when? POP COCP IUD
POP straight away (if after d21 then will need condoms for first 48 hours) COCP from 6 weeks IUD within 48 hours of childbirth or after 4 weeks
26
Copper coil MOA (1) IUS MOA (2)
Decreased sperm motility Prevents endometrial proliferation, cervical mucous thickening
27
IUS insertion, how long do you need barrier contraception for once inserted versus copper coil
7 days, versus immediately effective for copper coil
28
MOA depo CI (1)
Inhibits ovulation Breast ca current UKMEC 4
29
Emergency contraception options (3) dose, and time has to be taken within (from UPSI)
1. Levonorgestrel 1.5mg (Levonelle) - within 72 hours 2. Ullipristal (EllaOne) 30mg - within 120 hours 3. Copper IUD - within 120 hours (5/7) or 5 days after ovulation date
30
Levonorgestrel dose should be doubled in which cases? (2) Vomiting within how many hours should the dose be repeated?
BMI >26 >70kg 3 hours
31
EllaOne caution should be exercised in patients with which condition?
Asthma
32
Children under the age of ? are considered unable to give consent for sexual intercourse
<13
33
Young people should be advised to have STI tests when and when after an incident of UPSI?
2 and 12 weeks
33
Young people should be advised to have STI tests when and when after an incident of UPSI?
2 and 12 weeks
34
Nexplanon MOA Lasts how long? Needs to be inserted at what point in the cycle otherwise needs condoms for how long
Prevent ovulation 3 years Days 1-5 7 days
35
Contraception of choice in young people
Nexplanon (implant)
36
Patients assigned female at birth with a uterus who is on testosterone therapy should be offered what form of contraception? Emergency contraception
Prog only contraception Any of the three options
37
Patients assigned male at birth who are on oestro/gonadotrophin therapy should use what contraception?
Condoms
38
POP MOA
thickens cervical mucous
39
IUD MOA
decreases sperm motility
40
IUS MOA
prevents endometrial prolif
41
COCP, desogestrel, depo, implant MOA
Inhibits ovulation
42
Contraception in >40yo Which type of contraception is UKMEC 2 >=40 and >=45 Both can be used up until the age of?
COCP >= 40yo Depo >= 45yo 50
43
<50yo stop contraception after how many years of amenorrhoea >50yo
2 years 1 year
44
UKMEC 3 for COCP (8)
>35yo <15 cigs/day smoker BMI >35 FH of VTE <45yo in first degree relative Controlled HTN Immobility BRCA carrier Current gallbladder disease DM >20yo
45
UKMEC 4 for COCP (9)
>35yo >15cigs/day Migraine with aura Hx VTE Hx stroke/ IHD Breast feeding <6 weeks Uncontrolled HTN Current breast ca Major surgery Antiphospholipid antibodies +ve
46
COCP counselling (3)
VTE risk Breast and cervical risk IHD and stroke risk
47
COCP if started during which days in the cycle do not also need barrier contraception otherwise needs condoms for how many days
D1-D5 7 days contraception
47
COCP if started during which days in the cycle do not also need barrier contraception otherwise needs condoms for how many days
D1-D5 7 days contraception
48
Missed pills COCP 1 pill 2 or more Day 1-7 Day 8-14 Day 15-21
Take the missed pill No additional contraception Take one missed pill Condoms for 7/7 1-7 - consider emergency contraception if UPSI 8-14 - no need for emergency contraception 15-21 - skip pill free week
49
If vomiting within how many hours should a repeat COCP be taken?
3 hours

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