Contraceptives Flashcards Preview

GENITO-URINARY - medium > Contraceptives > Flashcards

Flashcards in Contraceptives Deck (24)
Loading flashcards...
1

Which age group are COCs contra-indicated in?

women over 50

2

The oestrogen in COCs increases the risk of what?

- VTE (smoking, obese, >35, immobile)
- Arterial TE (DM, HTN, migraine)

avoid if 3 or more are present

3

When travelling what should you do when on COCs?

- Stop for journeys longer than 3 hours
- Get compression stockings

4

How soon before surgery should oestrogen containing contraceptives be discontinued?

- 4 weeks

5

What would you do if a patient is not able to discontinue an oestrogen-containing contraceptive during major surgery?

- thromboprophylaxis with heparin
- this only counts with major surgery, not needed for minor

6

What are reasons to stop COCs or HRT immediately?

- sudden chest pain/breathlessness
- unexplained swelling/severe pain in calf of one leg
- severe stomach pain
- high BP

7

What is medroxyprogesterone acetate?

- long acting progesterone given by injection
- usually lasts 2 years

8

Which risk factors should you consider a different type of contraception instead of medroxyprogesterone?

- women with osteoporosis

9

What is norethisterone enantate (noristerat)?

- long acting progesterone given as oily injection that provides contraception for 8 weeks

10

How long does the nexplanon implant provide contraception for?

- 3 years

11

What are examples of progesterone only intra-uterine systems?

- mirena
- jaydess
- levosert

12

What is Mirena licensed for?

- contraception
- primary menorrhagia
- prevention of endometrial hyperplasia during oestrogen replacement therapy

13

Are progesterone only contraceptives ok to use before surgery?

- Yes
- Can be used instead of COCs

14

When would spermicidal contraceptives not be suitable?

- People who have or at high risk of STIs

15

When can emergency contraception be offered after child birth?

- 21 days after

16

When can emergency contraception be offered after abortion/miscarriage/ectopic pregnancy?

- 5 days after

17

How soon after unprotected sex can the IUD be inserted to prevent pregnancy?

- 120 hours after (5 days)
(or up to 5 days after earliest likely ovulation)

18

What are examples of emergency hormonal contraception?

- levonorgestrel
- ulpristal

19

When is levonorgestrel most effective?

- When taken within 3 days (72 hours)

20

When is ulpristal most effective?

- When taken within 5 days (120 hours)

21

If bMI was greater than 26 or body weight was greater than 70kg, which emergency hormonal contraceptive would you give?

- Ulpristal

22

What would you do if someone was using short term enzyme inducing drug treatment (2 months or less)?

- Continue on the hormonal contraception but take extra precautions like use condoms

23

What would you do if someone was using long term enzyme inducing drug treatment (more than 2 months)?

- use monophasic COC at a dose of ethinylestradiol (50mcg or more daily)

24

What would you do if someone was using long term rifampicin or rifabutin?

- IUD