·
The literature does not
support an increased risk of squamous cell carcinoma
of the cervix in women who smoke.
·
For postcoital testing, sexual
intercourse should be done on which day of menstrual cycle – Day 14
·
OCPs – Oral
contraceptive pills give protection against the following conditions :
THE COBRAS UFO POEM
1. T = Thyroid autoimmune disorders
2. H = Hirsutism
3. E = Endometrial carcinoma
4. C = Colorectal cancer
5. O = Ovarian cancer
6. B = Benign Breast diseases ( fibroadenosis )
7. R = Rheumatoid arthritis
8. A = Anemia and Acne
9. S = Salpingitis ( PID )
10. U = Uterine cancer
11. F = Fibroids ( exception is submucous variety )
12. O = Ovarian cysts
13. P = Pelvic inflammatory disease
14. O = Osteoporosis and Osteopenia
15. E = Ectopic pregnancy
16. M = Mittelschmerz , Menorrhagia , Dysmenorrhea , Premenstrual Tension , Polymenorrhea
.
Other important points to be remembered about OCPs is that
their extensive use leads to a few diseases like :
1. Cancer cervix
2. Breast cancer
3. Pituitary adenoma
4. Hepatic adenoma
·
absolute
contraindications of oral contraceptive pills:
ü
carcinoma of breast and genitals
ü
congenital hyperlipidemia
ü
porphyria
ü
cardiac abnormalities
ü
moderate to severe hypertension
ü
previous or present history of thromboembolism
ü
undiagnosed abnormal uterine bleeding
ü
impending major surgery to avoid post operative thromboembolism
ü
liver diseases , hepatoma
or history of jaundice during past pregnancy
·
conditions in
which GnRH analogues are used :
ü
adenomyosis
ü
irritable bowel syndrome
ü
carcinoma breast
ü
DUB
ü
endometriosis
ü
fibromyoma uterus
ü
hirsutism
ü
infertility
ü
precocious puberty
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