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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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