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Y3 Reproductive > Contraception > Flashcards

Flashcards in Contraception Deck (73)
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1

Give examples of combined hormonal contraception

Combined pill COC
Patch CTP
Vaginal ring CVR

2

Give examples of progesterone only contraception

Progesterone only pill POP
Implant
Depot
Intra-uterine system IUS

3

Give examples of non-hormonal contraception

Copper coil
Sterilisation
Barrier contraception
Cyproterone acetate

4

What method of contraception is being described "blocks sperm getting to genital tract"?

Barrier contraception

5

What method of contraception is being described "blocks the fallopian tubes"

Female sterilisation

6

What method of contraception is being described "the only type of contraception that protects against STIs"?

Condoms
(barrier contraception)

7

What method of contraception is being described "has the lowest failure rate of all contraception methods"?

Implant
(progesterone only)

8

What method of contraception is being described "this method of combined hormonal contraception is least likely to cause acne, intermenstrual bleeding and mood changes"?

Vaginal ring CVR

9

What method of contraception is being described "this method only requires 1 dose every 13 weeks"?

Depot

10

What method of contraception is being described "this method of contraception is contraindicated in migraine with aura"

Combined pill COC

11

Why is COC contraindicated in migraine with aura?

Increases stroke risk

12

What method of contraception is being described "this method is less effective in patients who weigh over 90kg"?

Combined transdermal patch

13

Which methods of contraception is being described "this method inhibits ovulation and has an effect on cervical mucus, the endometrium and fallopian tube transport"?

Progesterone only: POP, implant, depot

14

What method of contraception is being described "this method can be start anytime in the menstrual cycle if the patient has had no unprotected sex in the past 3 weeks"?

Intra-uterine system IUS

15

When prescribing the IUS, why must you wait until 3 weeks after unprotected sex before initiating?

Risk miscarrying potential ongoing pregnancy

16

What does LARC stand for?

Long acting reversible contraception

17

What method of contraception is being described "contraception is not its primary indication but it has an indirect contraceptive effect"?

Cyptoterone acetate

18

Name methods of LARC

Intra-uterine system
Implant
Depot IJ

19

What hormones are in combined hormonal contraception?

Estrogen + progesterone

20

What is the method of CHC?

-Ve feedback on GnRH
Decreases LH/FSH
Inhibits ovulation

(No folliculogenesis, exogenous estrogen still causes endometrial proliferation hence withdrawal bleeding)

21

Weight gain is a side effect of combined hormonal contraception. T or F

False, no evidence, though estrogen does increase appetite

22

What are the side effects of combined hormonal contraception?

Venous/arterial thrombosis
Increased BP
Mood
>Stroke/MI risk
Mood
Acne
Intermenstrual bleeding
Tender breasts

23

What is the dosing regimen for the combined pill?

21 days on, 7 days off (withdrawal bleed)

24

When should you initiate the combined pill?

On the 1st 5 days of your period
OR
Any time if definitely not pregnant + 7 days condoms

25

By what mechanism does combined hormonal contraception have an effect on metabolism?

Induce P450 liver enzymes

26

What is the dosing regimen for the combined transdermal patch?

Lasts 1 wk
3 wk on, 1 wk off

27

How long does the combined vaginal ring last?

3 wk on, 1 wk off

28

By what mechanism does combined hormonal contraception increase risk of venous and arterial thrombosis?

Estrogen decreases antithrombin III and has effects on protein S

29

For which methods of combined hormonal contraception should you monitor blood pressure?

All 3 of them

30

How often should you check blood pressure with combined hormonal contraception?

Once after 1st 3 months, annually from then on