Contraception Flashcards Preview

General Practice > Contraception > Flashcards

Flashcards in Contraception Deck (7):

List the Short and Long term contraceptive options for someone worried about becoming pregnant?

Short Term Barrier Methods:

  • condom
  • diaphragm (personally fitted 6 hours following sex)
  • female condom - cervical cap

Long Term IUD:

  • Copper
  • Mirena (implanted during menstruation, every 5 year replaced, review annually and check 2-3months)
  • Implanon - (estonogestrel implant) - unpredictable bleed, progesterone SE (breast tender, weight change), - insertion (adrenaline and local anaesthetic
  • Depot-Provera (IM progestogen) - bone density, return to fertility in 1-2years (6month delay), injection every 12weeks

ST options:

  • POP - (minipill - same time everyday) unpredictable bleeding patterns
  • COCP - monophasic or triphasic - oestrogen and progesterone SEs


What is the first line treatment for dysmenorrhoea in a non-currently sexually active women?

Pain relief Mefenamic acid (NSAID) aka Ponstan or paracetamol


What are some important contraindications for the OCP?

  1. CVD complications (DVT, HTN, smoking, diabetes, age, lipids, risk of stroke/IHD)
  2. migraine with aura
  3. hormone dependent cancers
  4. thrombophilia (anyone in the family with bleeding disease)
  5. liver disease
  6. medications (antiepileptics, TB drugs, antibiotics for acne)
  7. Others: post partum avoid for at least 21 days (no other VTE factors) Breastfeeding (not recommended until 6 weeks postpartum)


What is the difference between monophasic and triphasic COCP?

  • monophasic has a single dose of synthetic estrogen (ethinyl estradiol) and progestins throughout 21 days.
  • Biphasic has two different progestins, while triphasic has three different doses of progestins.
  • monophasic has decreased side effects triphasic has increased amenorrhea


What are the side effects related to progesterone?

  • Progesterone
  • Amenorrhoea / breakthrough bleeding
  • HA
  • Breast tenderness
  • ↑appetite
  • ↓libido
  • Mood Δ
  • HTN
  • OP
  • Androgenic SE = levonorgestrel > norethisterone > > > more recent progestins that are
  • antiandrogenic (cyproterone, drospirenone [less so] --- or have low androgenic activity = desogestrel, gestodene)
    • Acne / oily skin
    • Hirsutism
    • Weight gain


What are the side effects related to oestrogens?

  • Nausea
  • Breast Δ (tenderness, enlargement)
  • Fluid retention / bloating / oedema
  • Migraine / HA
  • TE events (DVT)
  • Breakthrough bleeding
  • Rare - Weight gain (NO WEIGHT GAIN) and Liver adenoma


Outline the Insertion of Implanon, what is involved and what are some risks? 

  • inserted subdermally on the inner side of the non-dominant arm around 8-10cm above the medial epicondyle. (marked with a marker) 
  • clean with antispetic 
  • anaethetise the insertion site 
  • angle less than 30 degrees 
  • applicator to hoizontal and slide 
  • verify the presence of the implant 
  • apply adhesive and pressure bandage to minimise bruising - keep dry for 24 hours and try not to heavy lift. 
  • itching, tenderness and bruising can occur. Can sometimes leave a scar. 

Things to Note: 

  • lasts for 3 years 
  • 99% effective 
  • it increases the thickness of mucus of the cervix and stops egg release from ovary. 
  • it is a 4cm long plastic rod that contains progesterone.
  • Its done on days 1-5 of your cycle. Can be done 21 days after birth and can be used while breastfeeding. 


  • breast or ovarian cancer
  • DVT
  • liver disease
  • pregnancy possibility
  • allergic reaction to local anaesthetic  


- insertion - soreness, scarring, local anaesthetics. May scar 

- changes in bleeding (20% none, 25% infrequent, 30% regular, 20% prolonged). 

- progesterone related side effects. settle down.