104586
Description
Flashcards by Bhavi Mistry, updated more than 1 year ago
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Created by Bhavi Mistry
over 11 years ago
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| Question | Answer |
| Under 18 conceptions | Domain 2 - health improvement - people are helped to live healthy lifestyles, make healthy choices and reduce health inequalities |
| Three options available for men | Vasectomy Condoms Abstinence |
| Disadvantages of POP | Forgetability 3hrs - standard POP, 12 hrs cerazette Irregular bleed, cysts, headaches, spots, weight etc |
| Post coital contraceptive (Levonelle/Levonorgestrel) | (progesterone) - delays ovulation if given early in cycle - seems to prevent follicular rupture/cause luteal dysfunction. |
| Advantages of levonelle | <96 hrs (only licenced for <72hrs) No prescription |
| Disadvantages of levonelle | Side effects - nausea vomiting headache Menstrual disturbances (may not work) |
| Post-coital contraceptive (Ulipristal acetate) | Progesterone receptor modulator Prevetns/delays ovulation if given early in cycle |
| Advantages of Ulipristal acetate | <120 hrs (licenced between 72 - 120hrs) |
| Disadvantages | Side effects - nause, vomiting, headache Menstrual disturbances (may not work) |
| Post coital contraceptive (Cu-IUD) | Disrupts egg transport and implantation (not really an abortion, as conception is at time of implantation, not fertilisation) Cover with antibiotics |
| Advantages of Cu-IUD | Can be inserted up to 120 hrs/5days of earliest expected date of ovulation |
| Disadvantages of Cu-IUD | Menstrual disturbances May not work |
| Injectables (depo-provera) + Implants (Implanon) | Cervical mucus, endometrium and fallopian tubes Prevent ovulation |
| Advantages of Injectables and Implants | Long lasting, few metabolic effects |
| Disadvantages of Implants and injectables | Not easily reversed, Irregular bleeding, Implants - small operative procedure |
| IUS (mirena) | Increases thickness of cervical mucus, thins endometrium (implantation), Preventing ovulation |
| Advantages and disadvantages of mirena | Not intercourse dependent, Local hormone action reduces menorrhagia and risk of endometrial cancer Side effect: irregular bleeding |
| IUDs (non hormonal, copper/plastic) | Mild inflammatory response toxic environement - decreases gamete/embryo survival Disruption of implantation |
| Advantages of IUDS | Long-term, Non-intercourse related, no user error |
| Disadvantages of IUDs | Expert fitted, Heavier period, Expulsion/displacement? Ectopic pregnancy? |
| Barrier methods (male and female condoms) | Advantages: No medical interference, Protect against STIs Disadvantages: unreliable, user dependent, |
| Sterilisation Women | Clipping tube - destroys it - invasive - difficult and expensive to reverse Blocking tubes - as above |
| Sterilisation, men | Extremely difficult to reverse and expensive If reversed auto-antibodies against sperm |
| Combined oral contraceptive pill (COCP) | Prevents ovulation, Cervical mucus Mix of Oestrogen and Progesterone |
| Advantage of COCP | Reversible, not intercourse related, lighter/no periods, decrease in PMS, Decrease in ovarian cysts and cancer |
| Disadvantages of COCP | Forgettable, Side effects, VTE risk increases with increased oestrogen |
| Progesterone only pill (POP) | Cervical mucus (thickens with progesterone), Fallopian tubes, Endometrium Cerazzette (ovulation) |
| Advantages of POP | Easy, Not intercourse related, Reversible, use if >35 yrs, Smoker, Obese, during lactation/breastfeeding, High BP/migraine |
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