Oral contraception and ehc
Download
1 / 27

Oral Contraception and EHC - PowerPoint PPT Presentation


  • 396 Views
  • Updated On :

Oral Contraception and EHC For Health Advisors, Health Information Staff and Nurse Advisors Your Name Medicines Information Pharmacist Your Medicines Information Service Aim

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Oral Contraception and EHC' - Gideon


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Oral contraception and ehc l.jpg

Oral Contraception and EHC

For Health Advisors, Health Information Staff and Nurse Advisors

Your Name

Medicines Information Pharmacist

Your Medicines Information Service


Slide2 l.jpg
Aim

To enable all staff answering Oral Contraceptive and Emergency Hormonal Contraception calls to work within role competencies and fulfil them safely, reliably and effectively in this area of care.


Learning outcomes l.jpg
Learning Outcomes

  • Be familiar with different types of oral contraceptives

  • Understand how emergency hormonal contraception (EHC) and oral contraceptives work

  • Gather necessary information to be able to clarify the question

  • Interpret information about contraceptives and turn it into appropriate advice


Contraception l.jpg

Male and female condoms

Intrauterine device

Diaphragms and caps

Contraceptive injection

Contraceptive implant

Contraceptive patch

Intrauterine system

Sterilisation

Natural family planning

Combined pill

Progestogen-only pill

Emergency contraception

Contraception


Oral contraception l.jpg
Oral Contraception

  • Combined oral contraception (COC)

  • Progestogen only pill (POP)

  • Emergency Hormonal Contraception (EHC)


Combined oral contraception l.jpg

Contains oestrogen and progestogen

Take one tablet daily for 21 days (28 for ED) followed by a 7 day pill free period

Most effective preparation for general use

With optimal use, > 99% effective

Combined Oral Contraception


Combined oral contraception7 l.jpg
Combined Oral Contraception

  • Monophasic

    • fixed amount of an oestrogen and a progestogen in each active tablet

  • Biphasic/Triphasic

    • varying amounts of the two hormones according to the stage of the cycle

  • ED (every day)

    • includes 7 days of placebo tablets



Oral contraception9 l.jpg
Oral Contraception

  • Combined oral contraception (COC)

  • Progestogen only pill (POP)

  • Emergency Hormonal Contraception (EHC)


Progestogen only pill l.jpg
Progestogen only pill

  • Contains one active ingredient - progesterone

  • Taken continuously – no break

  • Offers an alternative when oestrogens are contraindicated

  • Efficacy dependent on the meticulousness of the user


Oral contraception11 l.jpg
Oral Contraception

  • Combined oral contraception (COC)

  • Progestogen only pill (POP)

  • Emergency Hormonal Contraception (EHC)


Emergency hormonal contraception l.jpg
Emergency Hormonal Contraception

  • Levonelle 1500 (one step)

  • Contains high dose progesterone (levonorgesterel)

  • One 1500mcg tablet taken as soon as possible after unprotected intercourse (up to 72 hours after)

  • Preferably within 12 hours, no later than 72 hours


Emergency hormonal contraception13 l.jpg
Emergency Hormonal Contraception

  • Taking the dose as soon as possible increases efficacy

  • Available from:

    • A & E

    • GP

    • Walk in Centres

    • Family Planning Clinics

    • Sexual Health Clinics

    • Community Pharmacies


When is ehc indicated l.jpg
When is EHC indicated?

  • Unprotected sexual intercourse

  • Reduced efficacy of other forms of contraception:

    • Torn, leaking condom

    • Missed pills

    • Late implant or injection

    • Detached contraceptive patch


How does ehc work l.jpg
How does EHC work?

  • Dependent on point in the menstrual cycle

  • Either prevents or delays ovulation, prevents fertilisation or prevents implantation of the fertilised egg into the uterus.

  • Clinical opinion is that EHC is not an abortifacient


Missed contraceptive pills l.jpg
Missed Contraceptive Pills

  • COC

    • 7 days of pill taking put the ovaries to sleep

    • More than 7 days since pill taking may wake the ovaries up

    • 7 pill free days are safe

  • POP

    • Not for the forgetful!!!!!




Missed contraceptive pills19 l.jpg
Missed Contraceptive Pills

  • Which brand of contraceptive pill?

  • How many pills are left in the pack?

  • How long ago should it have been taken?

  • Intercourse since missed pill?

  • Any action taken?


Taken too many pills l.jpg
Taken too many pills

  • Which brand of contraceptive pill?

  • How many were taken?

  • Which pills did you take?

  • How long ago did you take it?


Taken wrong pill from packet l.jpg
Taken wrong pill from packet

  • Which brand of contraceptive pill?

  • Which day of the packet should you have taken?

  • Which pill did you take?

  • How long ago did you take it?


Vomiting diarrhoea l.jpg
Vomiting & Diarrhoea

  • If vomiting within 3 hours of taking pill then absorption will be reduced and may be ineffective.

  • Diarrhoea alone without vomiting has to be severe to reduce the absorption of the pill.


Vomiting diarrhoea23 l.jpg
Vomiting & Diarrhoea

  • When did vomiting occur relative to taking pill?

  • How severe is the diarrhoea?

  • Which brand of contraceptive pill?

  • How many pills left in the pack?


Drug interactions l.jpg
Drug Interactions

  • The effectiveness of COC, POP and EHC will be reduced by interaction with drugs that are enzyme inducers

  • Broad spectrum antibiotics may reduce effectiveness of COC by altering the bacterial flora of the bowel


Drug interactions25 l.jpg
Drug interactions

  • Which brand of contraceptive pill?

  • Taking another drug or planning to?

    • Prescription

    • OTC

    • Herbal

  • Under medical supervision?

  • How many tablets left in pack?

  • Active sexual relationship?


Case scenarios l.jpg
Case Scenarios

  • Think about what background information you need to answer the enquiry

  • Document information used to answer enquiry

  • What would you advise the caller?


Learning outcomes27 l.jpg
Learning Outcomes

  • Be familiar with different types of oral contraceptives

  • Understand how emergency hormonal contraception (EHC) and oral contraceptives work

  • Gather necessary information to be able to clarify the question

  • Interpret information about contraceptives and turn it into appropriate advice


ad