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ADELE-Repro Ramblings > Contraception > Flashcards

Contraception Flashcards

1
Q

How many pregnancies are unplanned?

A

1 in 3

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2
Q

How many days can sperm survive in the vagina?

A

5 days

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3
Q

What does the CHC contain?

A

Oestrogen and progesterone

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4
Q

How does the CHC work?

A

It inhibits ovulation

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5
Q

How many days does it take for the COCP to be effective?

A

7 days

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6
Q

TRUE/FALSE

You need one patch per cycle

A

FALSE

Normally need about 3

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7
Q

Benefits of the combined hormonal vaginal ring

A

Less bleeding problems, acne, irritability/mood changes

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8
Q

Desogestrol good for…

A

Acne
Headache
Breakthrough Bleeding

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9
Q

What 3 things affect the effectiveness of CHC?

A

Impaired absorption
Increased metabolism
Forgetting to take it

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10
Q

What are the risks with CHC?

A 
VTE
Arterial thrombosis
Cancer- breast and cervical  
Blood clotting
Systemic hypertension
MI
Liver
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11
Q

Side benefits of CHC?

A

Cancer-endometrial and ovarian
Improvement in acne
Decreased menorrhagia/dysmenorrhoea
decreased menopausal symtpoms

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12
Q

Absolute CI to CHC

A

Migraine with aura
Migraine w/o aura but 1+ RF for stroke
Severe Migraine or migraine treated with ergot derivatives

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13
Q

What is an extra specific CI for COCP?

A

Women >40 with a high BMI

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14
Q

How is CHC taken?

A

-Start in 1st 5 days of mensuration (or any time if sure not pregnant + condoms for 7 days)

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15
Q

What are the short term SE of CHC?

A 
Breast tenderness
Nausea
Wt gain
Mood swings
Usually resolve within 2-3 cycles
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16
Q

When should you stop taking the pill?

A

If chest pain or breathlessness, leg swelling/pain, severe stomach pain, unusual long headache or BP increase

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17
Q

After what period of time of forgetting the pill should you use condoms?

A

if >48h since pill use condom for 7 days

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18
Q

TRUE/FALSE

If you vomit <2h after taking a pill then you should take another

A

true

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19
Q

How many days postpartum can you start CHC if not breastfeeding?

A

21 days

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20
Q

How many weeks postpartum can a IUCD be fitted?

A

4 weeks

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21
Q

If there is a TOP <24wks gestation how soon can CHC be started?

A

5 days

22
Q

When should you use emergency contraception if on CHC?

A

If you forget 2-3 pills in 1st 7 days and UPSI occurred in those days

23
Q

What are some non-contraceptive reasons to take COC?

A 
Heavy periods
Painful periods
Irregular periods
Acne
Endometriosis
Menstural migraines
Hirsutism
24
Q

How do progesterone only pills work?

A

Inhibit ovulation

25
Q

What are the names of 2 progesterone only pills?

A

Cerezelle

Cezette

26
Q

How many years does the progesterone only implant provide protection for?

A

3 years

27
Q

TRUE/FALSE

The bleeding in the first 3 months of the progesterone only implant is heavy but it will relax

A

LIES

The bleeding pattern in the first 3 months are broadly predictive of future bleeding patterns

28
Q

How long do the progesterone injections last?

A

14 weeks

29
Q

What can the progesterone implants cause?

A

Osteoporosis

30
Q

How does the IUS affect implantation?

A

The endometrium is rendered unfavourable

31
Q

TRUE/FALSE

The IUS makes periods lighter and less painful

A

TRUE

32
Q

How long does the IUS last?

A

5 years

33
Q

Barrier methods of contraception stop all transmission of STDs TRUE/FALSE

A

FALSE

Obv never 100% certain but also it does not reduce transmission of STDs affecting the perineum

34
Q

OIL based lubricants are the best to use TRUE/FALSE

A

FALSE

It destroys the latex

35
Q

When is the most fertile time in a woman menstural cycle?

A

6 days prior to ovulation and 2 days afterwards

DAYS 8-18

36
Q

By how much does the basal body temperature increase during ovulation?

A

> 0.2 degrees c

37
Q

If using cervical mucous as a way fo determining when you are fertile when should you avoid sex in order to not become pregnant?

A

No intercourse from the day mucous becomes slippery to 3 days after it becomes tacky

38
Q

What 3 things must be true in order to meet the criteria for lactation amenorrhoea?

A

1- Exclusively breastfeeding
2-Less than 6-12h postnatal
3-Amenorrhoeic

39
Q

When can emergency contraception be used?

A

Can be used up to 5 days post UPSI
OR
Within 5 days of predicted date of ovulation

40
Q

COPPER IUD is more effective than oral TRUE/FALSE

A

True- 10x more effective

41
Q

What are the 3 methods by which the copper coil works?

A

1- inhibit fertilisation
2- Inhibit implantation
3-Stop sperm penetration (as they are toxic to sperm)

42
Q

In general when can LARC be inserted?

A

If there has been no UPSI in the last 3 weeks

43
Q

What is the only emergency contraception that can be used after ovulation?

A

Copper IUD

44
Q

SE of Copper IUD

A

Periods heavy
Crampy
Menorrhagia/Dysmonorrhoea

45
Q

What are the two types of oral emergency contraception?

A

LNG-EC

UPA-EC

46
Q

How does LNG-EC work?

A

Contains Levonorgestrel
Up to 72h
High dose progesterone
Works until just before LH surge

47
Q

With oral EC you need to give a double dose if their BMI is >26 TRUE/FALSE

A

FALSE

Need to give double dose with LNG but not UPA

48
Q

How long post-UPSI does UPA-EC work?

A

120h

49
Q

What does UPA-EC contain?

A

3-mg Ulipristal acetate e.g. EllaOne

50
Q

How does UPA-EC work?

A

Anti-progesterone

Can work during LH surge but not after

51
Q

Which of the oral contraceptives can only be used once in a menstural cycle?

A

UPA-EC

ADELE-Repro Ramblings (21 decks)

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