Contraception

Question 1

What are the three things which can be used as emergency contraception?

Answer 1

Progesterone only pill - up to 72 hours, can be given more than once per cycle

EllaOne - up to 120 hours

Copper coil - up to 120 hours

Question 2

What are the contraindications for the combined oral contraceptive?

Answer 2

• Migraine with aura
• History of VTE
• History or current breast/cervical cancer

Question 3

What happens if you miss pills on the oral contraceptive?

Answer 3

1 missed pill - Take next pill as soon as possible, no contraception needed

2 missed pills - Take pills as soon as possible, no more than 2 in one day, consider additional contraception for 1 week

If missed pill is in first week of pack - Emergency contraception

If missed pill is in last week of pack - Don’t take a break, immediately take next pack

Question 4

What are the progesterone-only options?

Answer 4

Mirena coil - 5 years

Progesterone depot - Cannot be given to extremes of reproductive age, will affect fertility for up to a year after cessation, 2-3 months

Implant - SC implant, lasts 3 years

Progesterone only pill

Question 5

How does the copper coil work?

Answer 5

Aseptic inflammation

Lasts 5 years or 10 years

NOT SUITABLE FOR WOMEN WITH HEAVY PERIODS

Question 6

What is the most effective form of emergency contraception?

Answer 6

Copper IUD (120 hours, OR within 5 days of the earliest estimated date of ovulation)

Question 7

What are the hormonal forms of emergency contraception?

Answer 7

Levonorgestrel (72 hours)

Ulipristal acetate (120 hours/5 days)

Question 8

How long after delivery can a woman get a IUS?

Answer 8

Immediately if no complications (within 48 hours)

OR

After 4 weeks

Question 9

How long after birth can a woman get POP?

Answer 9

Immediately after birth up to 21 days, no additional contraception.

After 21 days, additional contraception needed.

Question 10

How long after birth can a woman get the COCP?

Answer 10

Breastfeeding: 6 weeks

Not breastfeeding: 3 weeks

Question 11

How many days for COCP to start working?

Answer 11

7 days

Question 12

How long should be the COCP be stopped for elective surgery?

Answer 12

4 weeks pre-operatively

2 weeks post-operatively

Question 13

How long after taking emergency ulipristal acetate can a woman restart COCP?

Answer 13

5 days

Question 14

How long after taking emergency levonorgesterol can a woman restart COCP?

Answer 14

Immediately

Question 15

If a woman takes emergency levonorgesterol and vomits within 3 hours, what should she do?

Answer 15

Repeat dose