Contraception Flashcards
(24 cards)
What days of cycle should PRG-implant be inserted
D1-5 of cycle effective stat
Location of PO implant insertion site
Upper arm
PO implant complications
- Infection risks
- invasive
- falling out/moving around
Barrier methods
- Spermicide: Gel, foam, suppositories
Diaphragm/Sponge prolonged insertion
Toxic shock syndrome
COCP hormonal components
synthetic Oestrogen/progesterone
COCP MoA
Inhibit ovulation by negative feedback to the hypothalamic-pituitary gland
- (suppress the release of luteinizing hormone (LH) and follicle-stimulating hormone (FSH)
At what day of the cycle should Initiating COCP
D1 of cycle
Tubal Ligation
Abdo incision
clipping, banding, cauterisation, cutting and typing
Tubal ligation cons
surgery risks
- increased risk of ectopic pregnancy
Vasectomy
Snipping the vas deffrens
Post Vasectomy
8-12/52
OR
20 ejaculations to clear sperm in the vas defferens
F/U for Vasectomy
sperm analysis 12/52 post vasectomy
Post sterilisation care
- Counsel pt on aftercare
- abstinence from SI
- wound care
- DVT
Which cancer is salpingectomy a protective factor for
Ovarian cancer
Levonorgestrel MoA
Inhibiting LH surge: inhibiting GnRH - only effective before LH surge in cycle
Ulipristal VS Levonorgestrel
2.5 times more effectiv than Levonesgestrel - can inhibits up to ovulation
COCP effectiveness in cycle
D1-D5 of cycle stat effect
what precaution is required if COCP is taken after D5 of cycle
Extra precaution for the first 7 days
POP MoA
Thickening of the cervical mucus and thinning of the endometrium
Common POP SEs
Depression
Ulipristal acetate (Ella one) contraindications
- Asthma
what is the most effective emergency contraception?
most effective to least effective
- Copper IUD
- EllaOne (Ulipristal Acetate)
- Levonelle (Levonorgestrel)
Post-partum contraception
Contraception is not needed for the first 21days post partum
- COCP is not suitable for first 6 wks (VTE risk) and in breastfeeding mothers 6wks-6mths (reduce breast milk)
- IUD can be inserted within 48hours of delivery or 28days post partum (to avoid uterine perforation)
- LMP for 6 months if mother is near-exclusive breastfeeding and amenorrhoea
