what is % risk of pregnancy in unprotected sex?
85%
what are some barrier methods to contraception?
condoms, diaphragm, male vasectomy or female tubal ligation
what is method of contraception where toxicity on sperm & ovum?
copper coil
how long mirena coil last?
8 yrs
how long subdermal contraceptive implant last? side effect?
3 yrs
- side effect of prolonged bleeding, unpredictable
how long after vasectomy check if successful?
12 wks
how often change the combined contraceptive patch (evra patch)?
every week
how often change the combined contraceptive ring (nuvaring)?
every 3 weeks
when take COCP?
every day, classically took for 21 days with 7 day break but now can take continuously to miss periods if want
what is mechanism of action for COCP?
suppresses ovulation
what are benefits of combined contraception?
- periods much lighter & less painful
- can control when your period comes
- can help with acne
→good for endometriosis, PCOS & menopause (perimenopausal)
combined also means protection with endometrial cancer
what are disadvantages of combined contraception?
- no protection from STIs, should still use condoms
- spotting bleeding
- nausea at the beginning
- breast tenderness
- changes in mood & libido
- hungry
- headaches
- want to stop by age 50 (as get more risks)
→increased risk breast & cervical cancer
→increased risk blood clots
what is main progesterone only pill?
also called mini pill, desogestrel pill
what are benefits of progesterone only pill?
- easy to take - 1 pill every day, never miss
- good at preventing pregnancy
- can help with heavy & painful periods - may stop periods
- can stop quickly, no lingering effect
- suitable for people who can’t take oestrogen (risk of clots of breast cancer)
- can use in breastfeeding
- can use any age
what are disadvantages of progesterone only pill?
- difficult to remember
- irregular bleeding
- side effects like sore breasts, headache, mood etc
how long does long acting progesterone injection last?
13 weeks
what are the 2 types of long acting progesterone injection?
- sayana press = self administered
- depo provera = administered by nurse, injected into bum
what are benefits of long acting progesterone injection?
- periods lighter & less painful
- 4 out of 10 stop periods all together
- suitable for people who can’t take oestrogen
- good preventing pregnancy
- protects against cancer of uterus & ovaries
what are disadvantages of long acting progesterone injection?
- irregular bleeding
- weight gain (defo cause - others maybe but this one for sure)
- affect mood & sex drive
- can take several months for effects to wear off
- no protection against STIs
- temporarily decrease bone density during use
how use diaphragm as contraception?
hormone free, put in 3 hrs before sex with spermicide & leave for 6 hrs after →less effective & needs practice
how can copper coil be used as emergency contraception?
- can be fitted up to 5 days after sex or up to 5 days after ovulation
- very effective as emergency contraception
what is ulipristal acetate (ellaOne)?
- can be used 5 days after sex
- block progesterone hormone delaying ovulation
- can start any contraception until 5 days after
what is levenorgestrel?
- use up to 3 days after sex
- big dose progesterone hormone, delays ovulation
- less effective if ovulated
how long after birth should you wait until starting contraception?
21 days
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1- ovarian cancer pathology15
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1 - cervix & vagina pathology9
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1 - adolescent gynae17
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1 - uterine fibroids5
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1 - termination of pregnancy12
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1 - early pregnancy complications18
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1 - infertility & assisted conception20
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1 - acute gynaecology6
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1 - formative quiz25
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1 - menstrual disorders21
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1 - histology female reproductive anatomy17
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2 - nutrition in pregnancy11
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2 - genetics pregnancy6
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2 - preterm labour19
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2 - hypertension in pregnancy18
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2 - prescribing in pregnancy8
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2 - small for gestational age11
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2 - large for gestational age8
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2 - physiology pregnacy15
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2 - antenatal care10
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3 - normal labour18
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3 - maternal infections11
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3 - maternal sepsis9
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3 - haemorrhage24
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3 - miscarriage19
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3 - adaptation at birth7
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4 - postpartum2
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4 - prolapse7
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4 - complicated labour9
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5 - contraception27
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5 - sexual health6
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5 - infections38
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5 - menopause15
