Hormonal Contraception Flashcards Preview

Jason's MD3 Women's > Hormonal Contraception > Flashcards

Flashcards in Hormonal Contraception Deck (27):
1

Contraception good how?

Spacing children
Recourse to abortion

2

What is first line for contraception?

Increase use of long acting reversible contraceptive methods in Australia.

3

What is LARC?

Long acting reversible contraception

4

COC?

Oestrogen and progetagen

5

COC main Mechanism of action?

1. No egg
2. Thicken cervical mucus

6

Quick start method important how?

If excluded pregnancy

7

Why get breakthrough bleed on COC?

Religion

8

Do antibiotics interfere with COC?

Nope.
Only if vomiting or Diarrhoea

9

Quick Start Method: LEARN FOR THE EXAM!

CRITERIA FOR EXCLUDING PREGNANCY.

10

What is the Missed Pill Rule? COC?

Is it >24hours late?
Yes: take most recently missed straight away. Used condom for 7 days

No: take pill straight away, should still work.

11

COC SFx?

Breast tenderness
Nausea
Breakthrough bleeding
Forgotten pills
Mood and libido changes
???weight

12

Risks of COC?

VTE
May increase BP, AMI, stroke

13

Contraindications for COC?

-Undiagnosed vaginal bleeding.
-Multiple risk factors
-Smoker >35
-Stroke
-known VTE
-migraine
-liver disease
-hormone dependent cancer
-drug interactions
-breastfeeding

14

Nuvaring made of?

COC
Controlled release, stays in for the month

15

when use? Progesterone alone?

FIRST LINE!
LARC!

16

How to take POP?

Take pill EXACTLY the same time everyday.
-if >3 hours, condoms and abstain for 3 days.

17

Depot Provera, how to inject?

Retract skin then give. 'Z' tract injection

18

Main disadvantage of depo-Provera?

Can do anything for 3 months.
-delay in return of fertility
Need to return 3 monthly

19

When is implanon not effective?

if enzyme inducing drugs. Carbamazepine
Improve pain but not menorrhagia
Depot Provera: less likely to bleed.

20

Compare and contrast Depot and Implanon?

EXAM!!!!

21

Disadvantage of implanon?

Unpredictable bleeding
Headache, acne, weight gain, scar

22

Important for Implanon tell woman?

Adequate Counselling

23

IUD failures?

Unrecognized expulsions

24

Advantage of LNG-IUS?

Effective
Cost effective
No day to day action
Repaid reversible
Long lifespan
Reduces uterine blood loss
50% amenorrhoea at 12 months.

25

Disadvantages of LNG-IUS

6 months of Mentrual disturbance, wear panty liner, it's ok if you stop periods.
5% expulsion risk. More in nulliparous woman
-perforation
-pelvic infection - from previous STI/chlamydia

26

Ectopic preg with IUD?

So Less likely to get pregnant in the first place.

27

Contraindications for Mirena?

Hormone dependent cancer
Unexplained bleeding.