Contraception Flashcards
When, following a vasectomy, should semen analysis be done? When is a vasectomy considered a failure?
12 (estimate that suggested that 80% of men will
have no spermatozoa at this interval.)
Failure if still live sperm at 7 months after
Tell me about depo provera and weight gain
The average weight gain in 3kg over 2 years of use. Factors that increase risk of weight gain are: <18, starting BMI .30
A 5% increase from baseline weight at 6 months means likely to continue to gain weight
Is depo provera associated with any cancer risk?
?small increase risk in cervical cancer with over 5 years of use
What time frame should you worry about if you vomit after oral EC?
<3 hours
What time frame should you worry about if you vomit after CHCP?
<3 hours
What time frame should you worry about if you vomit after POP
<2 hours
Describe the bleeding pattern with depo provera
10% ammen at 3 months, 50% at 1 year, 70% by 2 years
Describe the bleeding pattern with POP
At 1 year of use 50% ammenorrhoea or infrequent, 40% regular, 10% frequent/prolonged
Describe the bleeding pattern with Mirena and Jaydess
Mirena 25% ammen at 3 years, Jaydess 13%
What % of CHCP users get irregular bleeding?
20% but most will settle with time
Describe the bleeding pattern with implant
30% infrequent, 20% ammenorrhoea
During a woman’s fertile period, what is the pregnancy risk following a single episode of unprotected sexual intercourse (UPSI)?
30%
What are the failure rates of the different methods of EC?
IUD <1 in 100
UPA 1-2%
LNG 2.6%
When do most women experience their next period after taking LNG Ec?
10% will have a delay in their menstruation, >90% will have it when due or within 7 days of being due
When do most women experience their next period after taking UPA EC?
75% will have it when due or within 7 days of when due
