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𝚙𝚑𝚢𝚜𝚒𝚘𝚕𝚘𝚐𝚢 𝟸 : 𝚛𝚎𝚙𝚛𝚘𝚍𝚞𝚌𝚝𝚒𝚘𝚗 > Contraception > Flashcards

Flashcards in Contraception Deck (57)
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1

What are the contraception methods that require ongoing action?

→ Oral contraception
→ barrier methods
→ Fertility awareness
→ Coitus interruptus
→ Oral emergency contraception

2

What are the methods which prevent contraception by default?

→ IUD/IUI/IUS
→ Progestogen implants
→ progestogen injections
→ Sterilisation

3

What are the risks of treatment?

→ Cardiovascular
→ Neoplastic
→ emotional
→ infection
→ allergy
→ iatrogenic

4

What are the risks of no treatment ?

→ childbirth related
→ abortion related
→ Social and economic costs

5

What is the latest progestogen?

→ Drospirenone

6

What do estrogens act on?

→ Anterior pituitary and hypothalamus
→ directly on the ovary
→ on the endometrium

7

Where do progestogens act on?

→ Anterior pituitary and hypothalamus
→ Directly on the ovary
→ On the endometrium
→ Fallopian tubes
→ cervical mucus

8

How does the combined oral contraceptive work?

→ Supraphysiological levels of progestogens and estrogens are given because this creates negative feedback
→ gnRH is not produced so FSH and LH are not produced
→ no follicle development and no ovulation

9

What happens if only estrogen is given?

→ Endometrium keeps proliferating

10

Why is progesterone added to the COCP?

→ Endometrium becomes thin
→ Implantation would not occur
→ Fimbriae become very inactive and delays gamete transport

11

What are the benefits of combined oral contraception?

→ reliable
→ Safe
→ Unrelated to coitus
→ rapidly reversible

12

What cancers does the COCP prevent?

→ 1/2 risk of ovarian cancer
→ 1/2 risk of endometrial cancer

13

What conditions does the COCP help?

→ endometriosis
→ Menorrhagia
→ dysmenorrhoea

14

What are the cardiovascular risks of the COCP?

→ Arterial - HBP, smoking
→ Venous - DVT, PE, migraine

15

What are the neoplastic risks of the COCP?

→ breast
→ cervix
→ liver

16

What are the 3 gastrointestinal risks of COCP?

→ COH/insulin metabolism
→ Weight gain
→ Crohns

17

What are the 3 hepatic risks of COCP?

→ Hormone metabolisms
→ Congenital nonhemolytic jaundice
→ Gallstones

18

What are the 3 dermatological risks of COCP?

→ Chloasma
→ Acne
→ erythema multiforme

19

What are the 3 psychological changes that COCP can have?

→ Mood swings
→ Depression
→ Libido

20

How do you take the COCP?

→1st packet the 1st day of period
→ 21 pills and stop for a 7 day break
→ restart each new packet on the 8th day
→ if missed pills then no pill free interval

21

What medications can interact with the COCP?

→ liver enzyme inducing drugs
→ Rifampicin and anti-epileptics
→ Broad spectrum antibiotics

22

What are the 2 progestogen only implants?

→ Nexplanon
→ Norplant

23

What is the progestogen only IUD called?

→ mirena

24

Why is cerelle better than progesterone only pills?

→ As effective as the combined contraceptive
→ no estrogen - no effects on breastfeeding
→ bleeding is as predictable as the combined pill

25

How do you use the combined vaginal contraceptive (ring)?

→ Vaginal delivery for 21 days
→ remove for 7 days

26

How do copper containing IUDs work?

→ Destroying spermatozoa
→ Preventing implantation - inflammatory reaction
→ Sterile endometrium due to a foreign body in the uterus

27

What are the 3 copper bearing IUDs called?

→ Ortho T380
→ Multiload 275
→ Multiload 250

28

What are the 2 progesterone IUDs called?

→ Mirena
→ Jaydess

29

What are benefits of IUCDs?

→ Non user dependent
→ Immediately and retrospectively effective
→ reversible
→ longterm
→ reliable
→ unrelated to coitus

30

What are disadvantages of the IUCDs?

→ Fitted by trained medical personnel
→ Fitting can cause pain and discomfort
→ periods can become heavier and more painful
→ no protection against infection
→ threads can be felt