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AB 3rd Year Repro > Contraception > Flashcards

Contraception Flashcards

1
Q

what does the POP do to the female genitals?

A

thickens cervical mucus
reduces receptivity of the endometrium to implantation
inhibits ovulation

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2
Q

when is the POP effective immediately?

A

day 1-5 of cycle, if not use condoms for 2 days

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3
Q

what are progesterone side effects?

A 
acne
bloating
breast tenderness
decreased sex drive
hirsutism
bleeding
wt gain 
mood swings/anxiety/depression
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4
Q

in what conditions can progesterone only contraception not be used?

A 
breast cancer
trophoblastic disease
liver disease
SLE
CVD - migraine +aura, stroke, IHD (while on progesterone pill)
crohns/malabsorption
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5
Q

what hormone is in the depo injection?

A

progesterone

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6
Q

when is depo injection given? how long does it last?

A

first 5 days of cycle, lasts 14 weeks

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7
Q

what age cannot get the depo injection?

A

> 50yrs

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8
Q

what does the injection increase your risk of?

A

osteoporosis

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9
Q

what hormone does the implant use?

A

progesterone

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10
Q

how long does the implant last?

A

3yrs

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11
Q

when should the implant be inserted?

A

day 1-5, if not use condoms for 7 days

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12
Q

what are the 3 types of coil and how long do they last?

A

copper 5-10yrs
mirena 5yrs
jaydess 3yrs

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13
Q

when can copper coil be used as emergency contraception?

A

120hrs of UPSI or if >5 days since, up to 5 days after ovulation

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14
Q

how do IUDs work?

A

inhibit implantation

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15
Q

side effect of copper coil?

A

heavy periods

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16
Q

side effects of jaydess/mirena?

A

lighter periods
less painful periods
spotting
heavy bleeding

17
Q

risks with IUD?

A 
expulsion
PID
dysmenorrhoea
menorrhagia
ectopic
18
Q

what does COCP benefit?

A

decreases ovarian, endometrial and bowel cancer risk
blocks ovarian cyst formation
improves acne

19
Q

what are oestrogen side effects?

A 
bloating
breast swelling/tenderness
decreased sex drive
fibroids
headaches
irregular bleeding
N+V
raised BP
wt gain
20
Q

with oestrogen and progesterone, why may wt gain occur?

A

oestrogen - water retention

progesterone - increased appetite

21
Q

who cannot have COCP?

A 
more than 35 years old and smoking more than 15 cigarettes/day
migraine with aura
thromboembolic disease
history of stroke or ischaemic heart disease
breast feeding < 6 weeks post-partum
uncontrolled hypertension
current breast cancer
surgery and immobility
22
Q

what is the most effective emergency contraceptive?

A

ulipristal acetate (ella one)

23
Q

how long after UPSI can EllaOne be useD?

A

120hrs

24
Q

how does EllaOne work?

A

inhibits/delays ovulation

25
Q

when is EllaOne best taken in the cycle?

A

before LH surge (ideally more than 24hrs)

26
Q

contraindications for EllaOne?

A

breast feeding
liver enzyme inducing drugs
drugs reducing gastric pH

27
Q

when MUST levonorgestrel be given?

A

before LH surge (day 13)

28
Q

how long after UPSI can levonorgestrel be given?

A

72hrs post UPSI

29
Q

how does levonorgestrel work?

A

inhibits/delays ovulation

30
Q

how does lactational amenorrhoea occur?

A

high PRL levels during pregnancy (not masked by progesterone, once placenta is expelled)
PRL inhibits GnRH which reduces oestrogen
inhibits ovulation

31
Q

what does IUD pose risk of?

A

cervical shock

32
Q

if on OCP, when does a missed pill become dangerous? what must you do?

A

two or more

continue taking and use protection for 7 days

33
Q

risks of progesterone only contraceptives?

A

ovarian cysts

breast cancer

34
Q

what are stroke risk factors?

A 
smoking
obesity
age >35yrs
DM
dyslipidaemia 
FHx of arterial disease <45yrs
35
Q

risks of COCP?

A

breast cancer

cervical cancer

36
Q

if getting the copper coil, when is it safe to have unprotected safe?

A

immediately

37
Q

what must be done before copper coil insertion?

A

STI screen

if not able to do this, azithromycin

38
Q

what must patients do to ensure IUD is not expelled?

A

feel the threads after each period

39
Q

how many days PP is a women protected for?

A

28 days

AB 3rd Year Repro (27 decks)

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