| 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 |
