EPISODE · Jun 14, 2025 · 22 MIN
Obgyn: Contraception Methods and Special Considerations: Free MSRA Podcast
from Pass the MSRA: Free Podcasts · host Pass the MSRA
🎙️MSRA Deep Dive:Contraception – Methods, UKMEC & High-Yield Clinical Pearls🧠 Welcome to another revision-packed episode of ourMSRA podcast series! In this session, we simplify contraception for UK clinicalpractice — covering key methods, side effects, contraindications, and how toapply the UKMECframework to real patients.📚 Whether you're revising for the MSRA or brushingup for clinical work, this episode walks you through the essential content withpractical pearls and memorable takeaways. 📌Main Topics Covered🔹Contraceptive MethodsOverviewBarrier methods (e.g., condoms)Daily methods: COC (Combined Pill) & POPLARCs (Implant, Injection, IUD, IUS)Emergency contraception (oral and copper IUD)🔹Mechanisms of ActionInhibit ovulationThicken cervical mucusPrevent endometrial thickeningSperm toxicity (copper IUD)🔹Fraser Guidelines forUnder-16sCompetency-based approach for consent5 essential conditions before offering contraception🔹UKMEC FrameworkExplained🟢 Category 1 – Safe🟡 Category 2 – Benefits outweigh risks🔴 Category 3 – Caution needed❌ Category 4 – Contraindicated 📌High-Yield ClinicalApplications🧬ObesityCHC: UKMEC 2–3 (risk of VTE)LARC: generally UKMEC 1💊Enzyme InducersPOP, COC, Implant = ↓ effectivenessCopper IUD unaffected (preferred EC)🧠MigraineWith aura = CHC is UKMEC 4 (AVOID!)Without aura = UKMEC 2🩺Diabetes,Hypertension, VTE, SmokingLearn which methods remain UKMEC 1–2 and which should be avoided🧑⚕️Learning DisabilitiesEmphasis on individualised care, not automatic LARC use 🧩Clinical Nuggets& Mnemonics📍POPs = "Thick MUCUS → Block sperm"📍COC = "Stop the EGG → Inhibit ovulation"📍Implant = 3 years, Injection = 12 weeks📍Fraser Guidelines = 5-point checklist for under-16 consent📍UKMEC = Gold-standard risk stratification for safeprescribing 🛠️Useful Resources📚 Full Course - Obs & Gynae for MSRA:https://www.passthemsra.com/courses/obstetrics-and-gynaecology-for-the-msra/ 🔁Tag & Share with#MSRA#MSRAContraception#UKMEC #FSRH #MSRARevision #MSRAPodcast #UKGuidelines #FraserGuidelines#GPTraining #MSRAHighYield
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Obgyn: Contraception Methods and Special Considerations: Free MSRA Podcast
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