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26 Cards in this Set
- Front
- Back
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Types of monophasic ocp |
Back (Definition) |
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MOA of ocp |
Suppresses FSH,LH-and thus prevents ovulation Also -progesterone -strophic changes on endometrium ,make cervical mucus thick Increases tubal motility-ferrite’s egg reaches uterine cavity before it’s ready for implantation |
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Pregnancy rate with IUCD |
0-3 per 100 women years |
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Pregnancy rate with OCP |
0.3 per 100 women years with perfect years 5-8 per 100 women years with typical use |
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HOW do you take OCP |
The tables are taken starting on first day of cycle for 21 days.new course should commence 7 days after completion of previous course Taken at a fixed time preferably after a meal |
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What happens if you miss ocp once? What happens if you miss twice? |
If she forgets to take once-take two tablets the next day If she forgets more than twice in a cycle-she is no longer protected and must use barrier |
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When to take ocp-after delivery in non lactating mother In MTP In vesicular mole |
Back (Definition) |
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ART Reduce effectiveness of OCP.True or false |
True Use along with condoms |
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Non contraceptive benefits of OCP |
-to regularise cycles and average the blood loss in menstruation-used in menorrhagia ,polymenorrhea,dysmenorrhea -prevents anemia by decreasing blood loss Lowers incidence of benign breast disease-fibrocystic diesease Reduce incidence of functional ovarian cyst Reduce ovarian and endometrial malignancy Reduce anorectal cancer Reduced incidence of ectopic pregnancy Protect against Rheumatoid arthritis Used in acne ,endometriosis,PCOD |
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Side effects of OCP Use |
Intermenstrual spotting-first 3 months Scanty menstrual bleeding or amenorrhea Genital tract Candidiasis Cervical dysplasia Breast cancer Pituitary adenoma Liver adenomas Gall bladder function can be affected Reduces breast milk amount -so don’t give combined OCP for first 6 months Carbohydrate tolerance reduced Lipid metabolism altered-increases HDL and decrease ldl Thromboembolism-7-10 times more Oedema irritation of eyes in contact lens user Headache irritation migraine depression increased weight
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What pill can be given to lactating mothers |
Progesterone only pills |
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How do u reduce thromboembolic episodes due to OCP |
Reduction of Estrogen content New pill -only 20 mcg of ethinyl estradiol-Femilon |
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How to decrease intermenstrual spotting due to OCP |
By choosing higher dose of estrogen |
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Does OCP affect thyroid |
Noooo! |
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Contraindications for OCP use |
Back (Definition) |
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Drugs interfering with OCP |
Tetracycline RIFAMPICIN Anticnonvulsants Antifungal Cephalosporin Phenobarb |
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Return of fertility and menstruation after stopping OCP |
menstruation-within 6 months Ovulation-3 months |
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Triphasic pills |
EE2 -30 mcg, LNG -50 mcg:first 6 days of cycle EE2 -40,LNG-75 :next 5 days Last 10 days -30 mcg EE2 and 125 mcg LNG |
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Triphasic pills |
EE2 -30 mcg, LNG -50 mcg:first 6 days of cycle EE2 -40,LNG-75 :next 5 days Last 10 days -30 mcg EE2 and 125 mcg LNG |
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Advantage of triphasic pills |
Can be given to diabetic women |
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Progesterone only pill |
Has norethistrone 350 mcg or LNG 30 mcg or norgestral 75 mcg Low dose Taken without a break Start within 5-7 days of menstruation Started 21 days postpartum,soon after abortion |
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Progesterone only pill |
Has norethistrone 350 mcg or LNG 30 mcg or norgestral 75 mcg Low dose Taken without a break Start within 5-7 days of menstruation Started 21 days postpartum,soon after abortion |
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How to maintain complicated with use of OCP |
Three monthly course of pill -84 tablets with 7 day gap Only 10 mcg of EE2 Once a month pill containing 3 mg quinestrol and 12 mg megestrol acetate |
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Features of mini pill |
Taken without breaks Suited for lactating women Pregnancy rate higher :2-3 per 100 women years No androgenic effect ,no effect on carbohydrate and lipid Side effects -higher incidence of thromboembolism |
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Which POP doesn’t require strict time compliance |
Cerazette-75 mcg of desogestral |
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Incidence of thromboembolism is higher with POP |
True |
