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Flashcards in Contraception Deck (26):
1

1 missed COCP

take missed now, continue as normal

2

2 or more missed COCP in week 1

take last missed now,
Emergency contraception if had sex in week 1 or during pill break

3

2 or more missed COCP in week 2

take last missed pill now
Continue pack as normal

4

2 or more missed COCP in week 3

take last missed pill now
Finish pack
Omit pill break

5

Woman taking antiepileptics other than lamotrigine

COCP and POP are UKMEC3
Depo-provera, IUD and IUS are UKMEC 1

6

Woman taking lamotrigine

COCP is UKMEC3
POP, implant, Depo-Provera, IUD, IUS are UKMEC 1

7

over 35 and smoking more than 15

UKMEC4 for COCP
offer POP or IUS

8

migraine with aura

UKMEC4 for COCP

9

Implant (Nexplanon) contraindications

Current breast cancer UKMEC4
UKMEC3: past breast cancer, ischaemic heart disease, liver disease, antiphospholipid antibodies

10

POP contraindications

UKMEC4: pregnacy, breast cancer in last 5 yrs
UKMEC3: liver disease, enzyme inducers, breast cancer over 5 yrs ago, undiagnosed vaginal bleeding

11

history of thromboembolic disease

UKMEC4 for COCP
3 for implant

12

breastfeeding

UKMEC4 for COCP

13

major surgery with prolonged immobilisation

UKMEC4 for COCP

14

more than 35 years old and smoking less than 15 cigarettes/day

UKMEC3 for COCP

15

BMI > 35 kg/m^2*

UKMEC3 for COCP

16

migraine without aura and more than 35 years old

UKMEC3 for COCP

17

family history of thromboembolic disease in first degree relatives

UKMEC3 for COCP

18

controlled hypertension

UKMEC3 for COCP

19

uncontrolled hypertension

UKMEC4 for COCP

20

immobility e.g. wheel chair use

UKMEC3 for COCP

21

breast feeding 6 weeks - 6 months postpartum

UKMEC3 for COCP

22

UPSI

Levonorgestrel (Levonelle One) or Ulipristal acetate (ellaOne) or Cu-IUD

23

UPSI

Ullipristal acetate (EllaOne) or Cu-IUD

24

what is the preferred form of emergency contraception?

all women should be offered CU-IUD as it is the most effective and provides LARC.

25

Which forms of contraception are unaffected by enzyme inducers?

Cu-IUD
IUS
Depo-Provera (assoc with weight gain)

26

For how long does a woman not require contraception postpartum?

21 days.

If breastfeeding, offer additional contraception

If exclusively breastfeeding, women may rely on lactational amennorrhoea