Name 7 types of non oral contraceptives
1) injectables depo-provera
2) sayana-press
3) nexplanon
4) mirena
5) jaydess
6) CVR nuvaring
7) patch EVRA
What two hormones does the COC contain
1) oestrogen
2) progestogen
In the COC what’s the type of oestrogen used
Ethinyloestradiol
COC mode of action?
1) suppression of ovulation
2) cervical mucus thickening
3) endometrial thinning
3 ways the COC efficacy is reduced?
1) poor compliance
2) reduced absorption
3) increased metabolism
What does UKMEC stand for and how many categories are there?
UK medical eligibility criteria - 4
What is in ZOELY
Nomegestrol acetate
Estradiol
Why is ZOELY 24/4 rather than 21/7?
Greater suppression of follicle growth
Improved Decrease in FSH levels
Significantly shorter WB
Is ZOELY monophasic?
YEP
What is in Qlaira
Estradiol valerate
Dienogest
Is Qlaira monophasic?
NO it’s quadriphasic
26 active tabs and 2 placebo
What’s the effects of Qlaira?
Step down in oestrogen
Step up in progestogen
What’s the benefits of Nuva-ring
Good cycle control
Don’t have to remember a pill
Less nausea and mastalgia
What’s EVRA and how do you use it
Contraceptive transdermal patch, applied weekly for 3 weeks then a patch free week
Where can EVRA be applied?
Upper outer arm
Upper torso
Buttock
Lower abdomen
What’s the mechanism of action of POPs
Cervical mucus changes
Endometrial changes
Prevent ovulation
What are 6 key side effects of POPs
Unpredictable bleeding Breast tenderness Mood swings Acne Bloating Weight gain
Give four examples of POPs
Femulen
Microbor/noriday
Norgeston
Cerazette
What’s the rules on missed pills for Cerazette
Missed pill >12hrs
Need two pills after missed pill to achieve contraceptive cover
Name three types of injectables
Depo provera
Sayana press
Noristerat
Which injectable is self administered
Sayana press (sub cut)
What is DMPA?
Depot methoxyprogesterone acetate- injection similar to progesterone
What’s a key side effect to DMPA
Weight gain
Name two Subdermal implants
Norplant
Implanon
Is Norplant still available?
NO NO NO
How long does Implanon last
Lasts 3 years
How does the subdermal implant work?
Works by inhibiting ovulation
How does jaydess and mirena principally work
Acts via a progestogenic action on the endometrium
How long can you have/mirena in?
Generally 5years- if inserted at age of 45+ and patient amenorrhoeic can leave in situ until menopausal
How long can you have jaydess in
3 years
Name 4 types of oral contraception
1) COC
2) POP
3) ella one
4) levonelle
What do you treat chlamydia with
Azithromycin 1G STAT
What does HSV stand for and what are the two types
Herpes simplex virus
HSV1- oral sores
HSV2- genital sores
How do you treat herpes simplex virus
Aciclovir 200mg 5 times a day for 5 days or preferred treatment is 400mg TDS for 5 days
If its suppressive herpes simplex virus how do you treat?
Aciclovir 400mg BD for 9-12months
What can HPV lead to?
Clinically apparent warts
How can you treat HPV
Warticon
Aldara 5% imiquimod
Catephen- green tea extract
What’s the name of genital lice
Pediculosis pubis
Genital lice have 3 distinct phases of life:
1) egg or nit
2) nymph
3) louse (adult crab)
What’s the benefit of ZOELY 24/4 than 21/7
Greater suppression of follicle growth
Improved decrease in FSH
Shorter withdrawal bleeds
What effect does increased gastric pH have on absorption of EllaOne?
Reduced absorption