Long Acting Reversible Contraception Flashcards
(46 cards)
What are the physical reasons people have sex?
Sexual pleasure, release of sexual tension, attraction to person, stress relief, mood booster, exercise
What are the emotional reasons for having sex?
Love, commitment, sexual curiosity and novelty, nurturance, gratitude, need for affection
What are some reasons motivated by insecurity that people have sex?
To boost self-esteem/social status, to keep partner, feeling sense of duty, wanting to fit in, external pressure
What are some goal-based reasons for people wanting to have sex?
To improve social status and reputation, to enhance power, to seek revenge or cause jealousy, for financial/material gain, to make a baby
How many women get pregnant in a year when not using contraception?
85% = around 40% of pregnancies in UK are unplanned
What are the mechanisms of action of contraceptives?
Prevent ovulation, fertilisation or implantation
How do contraceptives prevent ovulation?
Work by suppressing LH and FSH (e.g most hormonal methods)
How do contraceptives prevent fertilisation?
Work by creating a mechanical/surgical barrier or by direct toxicity = condoms, diaphragms + spermicide, sterilisation, IUD, hormonal methods
How do contraceptives prevent implantation?
Works by creating hostile endometrium or direct toxicity = intrauterine and hormonal methods
What are some contraceptive methods that cause ovulation suppression?
Combined hormonal contraception, medroxyprogesterone acetate, subdermal implant, lactational amenorrhoea method, desogestrel-containing progestogen only pill, IUS (coil)
What are some contraceptives that work by thickening the cervical mucous?
IUS, medroxyprogesterone acetate, progestogen only pill, subdermal implant
What contraceptives have direct toxic effect?
IUD and spermicides
What are some methods that create a mechanical barrier to prevent pregnancy?
Condoms, diaphragm, cervical caps
What are some contraceptive methods that cause endometrial changes?
IUS, IUD, subdermal implant, medroxyprogesterone acetate, progestogen only pill, combined hormonal contraception
What are the different classifications of contraception?
Hormonal methods = ring, patch, DMPA injection, pill
Barrier methods
Intrauterine methods = IUD, IUS
Permanent methods = sterilisation
Emergency methods = emergency IUD or pill
Fertility awareness methods
What are some factors that influence choice of contraception?
Personal preference, age, mental capacity, child protection/wellbeing concerns, lifestyle, allergies, weight, BMI, blood pressure
What sexual factors should be considered when choosing a contraceptive method?
Frequency and type of sex, relationship status, pregnancy risk and future pregnancy plans
Medical, surgical and obs & gynae history
What are some child welfare concerns that may arise when seeking contraception?
Intercourse or any other sexual activity < age 13
Partner = age gap >=2 years, power imbalance, coercion
Drug/alcohol use, especially during sex
What are some things that a patient will have to weigh up the acceptability of when choosing contraceptives?
Amenorrhoea, irregular bleeding, side effects or invasive procedure
What are some non-contraceptive benefits of hormonal contraception?
Reduce period pain, heavy menstrual bleeding, irregular PV bleeding, ovulation pain, PMS, cyclical breast tenderness, ovarian cysts, endometriosis, ovarian cancer, acne/hirsutism (CHC)
What are some highly effective methods of contraception?
Subdermal implants, vasectomy, IUS, female sterilisation, IUD
How can user failure occur when using condoms?
Used too late, wrong lube, wrong technique, inconsistent use, wrong storage
How can user failure occur when using a diaphragm?
Used too late, removed too early, wrong technique, inconsistent use, no damage checks, no replacement
How can hormonal methods of contraception be used incorrectly?
Inconsistent use, late injection, wrong use or storage, late replacement when coming out, drug interactions
