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COCP
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Question | Answer |
---|---|
What are benefits of COCPs? | 1. Contraceptive efficacy 2. Relieves dysmenorrhea 3. reduces menstrual flow 4. regulates cycles 5. reduce size of simple ovarian follicular cysts 6. red risk of endometrial & ovar ca |
adverse side fx of COCP | Oestrogenic: thrombosis, nausea, migraines, bloating, breast tenderness Progestin: depression, breakthru bleed, decreased libido, acne, hirsutism |
absolute c/i to cocp | 1. undiagnosed vag bleed 2. suspected pregnancy 3. hx of VTE occurrence 4. hx of VTE disorders (factor V Leiden( 5. CAD 6. Prev stroke 7. focal & crescendo migraine 8. liver disease 9. breast/endometrial ca |
relative c/i to cocp | 1. obesity 2. DM 3. SCD 4. SLE 5. controlled HTN |
When should cocp be ideally started | first day of the menses |
risks of COCP | increased risk of VTE, cervical ca |
how would you advise a pt about to have minor sx with cocp | can use up until time of minor sx |
how would u advise a pt about to have major sx with cocp | discontinue 1 month b4 surgery and use alternative contraception |
what side effect would you warn a pt about re inert pills | withdrawal bleed |
what timing would u recommend for a pt taking an ocp | same time every day |
what condition can affect the efficacy of ocp | vomiting, diarrhoea |
what medications can affect the efficacy of ocp | rifampicin, griseofulvin, phenytoin, carbamazepine |
what are some important points in following up pts on the pill | blood pressure checks, breast anomalies, pap smear, migraines, lfts |