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Block 8 Ellen > Contraception L7 > Flashcards

Contraception L7 Flashcards

(77 cards)

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1
Q

What is a LARC

A

long acting reversible contraception

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2
Q

name three natural methods of contraception

A

fertility awareness method (FAM)
Lactational amenorrhoea methods (LAM)
Coitus interruptus (withdrawal)

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3
Q

what does ovulation always happen

A

14 days before the end of a cycle

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4
Q

which stage of ovulation is constant

A

luteal

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5
Q

which stage of ovulation varies

A

follicular

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6
Q

maximum sperm survival=

A

7 days

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7
Q

average egg survival=

A

24 hours

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8
Q

fertile window=

A

8-9 days

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9
Q

when is conception most likely to occur

A

following ovulation or the day preceding

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10
Q

what are some fertility indicators (3)

A

temperature
cervical secretions
calendar

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11
Q

in FAM what causes a higher efficacy

A

higher motivation

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12
Q

are fertility monitoring devices licensed for contraceptive use

A

no

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13
Q

advantages to FAM (3)

A

no hormones
no alteration to menstrual cycle
helps with contraception in future

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14
Q

disadvantages to FAM (3)

A

less effective
no intercourse for at least 8-9 days
no protection from STI

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15
Q

What is LAM

A

lactational amenorrhoea method

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16
Q

What do you need to be to use LAM

A

fully breastfeeding

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17
Q

what does breastfeeding increase production of

A

prolactin

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18
Q

what does prolactin do (story)

A

suppress release of GnRH from hypothalamus which interrupts the release of LH and FSH from anterior pituitary and suppresses ovulation

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19
Q

what is the time zone for LAM

A

6/12 months post partum

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20
Q

what is coitus interruptus

A

pull out method

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21
Q

what is CHC

A

combined hormonal contraception

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22
Q

Name 3 CHCs

A

COC-pill
CHP-patch
CVR-ring

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23
Q

what hormones do CHCs release

A

Progesterone and oestrogen

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24
Q

what is the mode of action for CHCs

A

inhibition of ovulation via action on the hypothalamus-pituitary-ovarian axis to reduce LH and FSH

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25
what do the first 7 pills of COC do
inhibit ovulation
26
what do the remaining 14 pills of COC do
maintain anovulation
27
what is the bleed because off in COC taking
because of the withdrawal of hormones
28
where can't you place the combined patch
breast
29
name 5 contraindications of CHCs
``` migraine with aura family history of VTE multiple risk factors for CVD smoking over 35 breast cancer ```
30
what is dangerous about taking antibiotics and the pill
if you get diarrhoea and vomiting
31
what drugs may increase the metabolism of the pill
liver enzyme inducers ---> interfere with cytochrome P450
32
what emergency contraceptive can stop the pill working
ella one
33
3 disadvantages of CHC
increased risk of VT increased risk of stroke increased risk of cervical cancer
34
when is your risk of VT highest (higher then being on pill)
in pregnancy
35
which generation pills carry a higher risk of VT
3rd and 4th gen
36
main contraindication for progesterone only pill
breast cancer
37
when can you start progesterone pill
any time as long as you're not pregnant
38
how long does the progesterone pill start to work
quickly within 48 hours
39
advantage of progesterone pill (3)
no delay in return to fertility can be used until age 55 very safe
40
main disadvantage of progesterone only pill
irregular bleeding pattern
41
what is the progesterone injection called
depo provera
42
what is sayana press
newer self administration progestogen injectable
43
what is the injection interval for progestogen injectables
12 weeks
44
when can't you use depo provera
under 18 or over 44 (higher risk of osteoporosis)
45
advantages of Progestogen injectable
reduced bleeding - most amenorrhoeic by 12 months can reduce pain LARC
46
disadvantage of progestogen injectable (3)
can't remove once given delay in fertility return up to 1 yr small loss of BMD
47
how long is the progestogen implant licensed for
3 years
48
what is the most effective preventer of contraception
progestogen only implant
49
what makes the progesterone implant less effective
gaining lots of weight
50
side effect of implant
altered bleeding patterns
51
advantages of progesterone implant
very safe LARC rapid return to fertility
52
disadvantage of progesterone implant
irregular bleeding patterns some experience weight gain risk of fitting
53
2 forms of intra-uterine contraception
copper IUD | Levonorgestrel IUS
54
cautions for intrauterine methods (3)
arrhythmias from fitting coil current pelvic infection unexplained vaginal bleeding
55
What must always be done before fitting the coil
STI risk assessment
56
2 types of levonorgestrel IUS
mirena | jaydess
57
which levonogestrel lasts longer and is bigger
Mirena (5 years)
58
what is amenorrhoea
absence of a menstrual cycle
59
which levonorgestrel is more likely to cause amenorrhoea
mirena
60
advantages of IUS (4)
LARC fit and forget reduction in bleeding and pain immediate return to fertility
61
disadvantages of IUS
risks with fitting | relies on a health professional to fit and remove
62
mechanism of copper IUD
copper toxic to ovum and any sperm= affects fertilisation
63
disadvantages of copper coil
risks of fitting heavier longer periods relies on health professional to fit and remove
64
3 emergency contraceptives
IUD (intrauterine device) Ulipristal (ella one levonorgestrel
65
what is bad about ella one
interacts with other contraceptives | bad with severe asthma
66
what is the most effective emergency contraceptive
emergency IUD
67
in IUD what prevents implantation
Endometrial inflammation reaction
68
up to how many days can the emergency IUD be inserted
5 days after unprotected sex or 5 days after ovulation
69
what needs to be done 3 weeks after fitting emergency IUD
follow up pregnancy test
70
what is ellaone (ulipristal acetate UPA)
selective progesterone receptor molecule | delays ovulation 5 days
71
how many times in a cycle can ellaone be given
twice
72
difference with levonorgestrel and ellaone
levonorgestrel doesn't interfere with ongoing contraception
73
3 barrier methods of contraception
male condom female condom diaphragms
74
when should a diaphragm not be used
history of toxic shock syndrome
75
bonus of condoms
protect against STIs
76
if adding lubricant what condoms should be used
water based
77
female sterilisation 2 methods
laparoscopy tubal ring | transvervical essure micro insert

Block 8 Ellen (14 decks)

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