Contraception Flashcards
(21 cards)
What is the failure rate for barrier methods?
10-15%
How does the COCP work?
Inhibits ovulation
Thickens cervical mucus
Inhibits implantation
What are the contraindictions for the COCP?
Migraine with aura BMI >35 Smoker >35yrs VTE history Liver conditions Breast feeding
What are the benefits of COCP?
Regular bleeds
Lighter bleeds
Improved PMS
Reduced risk of ovarian and endometrial cancer
What are some side effects of COCP?
Breakthrough bleeding
Weight gain
HBP
Headaches
How does the POP work?
Inhibits implantation
Thickens cervical mucus
What are the benefits of the POP?
useful in those who cant take the COCP
Can cause amenorrhoea
What is the downsides of the POP?
Can cause erratic bleeding
Need to be taken on time
What is the mechanism of the DepoProvera injection?
Inhibits ovulation
Thickens mucus
Inhibits implantation
What are the downsides of the DepoProvera injection?
Delayed return to fertility
weight gain
bleeding irregularities
How does the implant work?
It prevents ovulation
What is the downsides to the implant?
Delayed return to fertility
Irregular bleeding
What are the benefits of the implant?
Oligo/amenorrhoea
How does the COPPER IUD work?
Hostile environment for implantation
What are contraindictions for the copper IUD
Copper allergy Menorrhagia Acute PID Uterine abnormalities Cervical/endometrial cancer
What are some problems with the copper IUD?
Heavy bleeding and dysmenorrhoea
Ectopic pregnancy
Perforation and expulsion
PID
How does the MIRENA IUD work?
Prevents implantation
What are the contraindications for the mirena IUD?
Cervial/endometrial cancer
Uterine abnormalities
Acute PID
What are the risks of the MIRENA IUD?
Ectopic prednancy
Perforation and expulsion
PID
What are the tablet options for emergency contaception?
Levonelle (levonorgestrel) within 3 days
EllaOne within 5 days
How long can the IUD be fitted after sex for emergency contraception?
5 days after sex or 5 days after ovulation
