Contraception

Question 1

How many days after childbirth does fertility return?

Answer 1

21 days

Question 2

2 contraindications to COCP

Answer 2

wheelchair use

breastfeeding in first 6 weeks postpartum

Question 3

Where is the implant placed

Answer 3

subdermal

Question 4

When can you insert a copper coil for emergency contraception

Answer 4

Up to 5 days after unprotected sex OR 5 days after the ovulation date

Question 5

What would you do if a women missed 1 COCP

Answer 5

They should take their missed dose as soon as possible with no extra precautions

Question 6

What would you do if a women missed 2 COCP in week 1

Answer 6

They should take both pills today

Consider emergency contraception if she had unprotected sex during the pill-free interval or in week 1

Question 7

What would you do if a woman missed 2 COCP in week 2?

Answer 7

No emergency contraception is needed, as long as the previous 7 days of COCP have been taken correctly

Question 8

What would you do if a women missed 2 pills in week 3?

Answer 8

Finish the pills in the current pack and start the new pack immediately, omitting the pill-free period

Question 9

Why should the COCP NOT be used in the first 21 days post partum?

Answer 9

Increased risk of VTE

Question 10

When switching from an IUD to COCP is additional contraception needed?

Answer 10

No, if the IUD is removed in day 1-5 of the cycle

Question 11

How long do you have to wait until the POP is effective?

Answer 11

48 hours

Question 12

Which contraceptive should patients who have been assigned female at birth avoid if they are undergoing testosterone therapy

Answer 12

Contraceptives containing oestrogen as they can antagonise the effect of testosterone therapy

Question 13

Does testosterone therapy protect against pregnancy?

Answer 13

No

and testosterone is teratogenic

Question 14

What should trans female (assigned males) use as contraception?

Answer 14

Condoms

Question 15

Give one example of a contraindication for injectable progesterone contraceptives

Answer 15

Current breast cancer

Question 16

What should a women do if she is on the POP and required antibiotics

Answer 16

Nothing, there is no need for any extra precautions

Question 17

What medication should be used with caution in patients with severe asthma

Answer 17

Ulipristal

Question 18

Give one absolute contraindication for the copper IUD

Answer 18

Pelvic inflammatory disease

Question 19

At what age should you stop implantable contraceptives

Answer 19

50

Question 20

Which contraception has the longest delay in return to fertility

Answer 20

Depot injection

Question 21

How long do you need to wait after having Levonelle (levonorgesterel) for emergency contraception to restart the COCP or start it for the first time

Answer 21

Restart the COCP immediately after emergency contraception

Question 22

How long will it take until each contraceptive is effective (if not the first day period)?

Answer 22

Instant: IUD
2 days: POP
7 days: COC, implant, IUS

Question 23

When can the IUD or IUS be inserted after childbirth?

Answer 23

Within 48 hours or after 4 weeks

Question 24

When switching from a POP to COCP do you need additional barrier contraception?

Answer 24

Yes, 7 days of barrier contraception

Question 25

Elective surgery COCP

Answer 25

Stop immediately and switch to POP

Question 26

What cancers does the COCP increase and decrease the risk of?

Answer 26

Increased risk of breast and cervical

Decreased risk of ovarian and endometrial

Question 27

When do women no longer need contraception?

Answer 27

Over 50 and amenorrhoeic for over 12 months

Under 50 and amenorrhoeic for over 24 months

Question 28

When can the combined contraceptive pill be given postpartum?

Answer 28

It can be given if requested 6 weeks postpartum even if breastfeeding BUT they can get pregnant from 21 days postpartum so they need a pregnancy test before starting

Question 29

What is the most appropriate contraception to consider when taking a long term antibiotic

Answer 29

Depo injection (for abx that are enzyme inducers e.g. rifampixin)

Question 30

Is there any need for extra precautions with the POP and ABx

Answer 30

No

Question 31

Migraine with aura even if just pins and needles up arm

Question 32

Primary mode of action of the contraceptive implant

Answer 32

Inhibition of ovulation

Question 33

Suspected STI and 5 days post intercourse

Answer 33

Ulipristal acetate (EllaOne)

Question 34

How long should you wait after ulipristal (ellaone) before restarting hormonal contraception

Answer 34

5 days

Question 35

What contraception can you not take with epilepsy drugs?

Answer 35

Hormonal

So use copper coil instead

Question 36

How long are each of the emergency contraceptives effective for?

Answer 36

EllaOne (ulipristal): 120 hours
Levonorgestrel: 72 hours
IUD: 5 days

Question 37

Which contraceptive method has no UKMEC caution for migraine with aura

Answer 37

Copper coil

Question 38

Absolute contraindication for injectable progesterone contraceptives

Answer 38

Current breast cancer

Question 39

What does the Pearl Index describe

Answer 39

the number of pregnancies that would be seen if one hundred women were to use the contraceptive method in question for one year
0.2 = 0.2/100 or 2/1000

Question 40

When can you restart the COCP after surgery

Answer 40

2 weeks after

Question 41

Women over 35 smoking more than 15 cigarettes a day - what contraception is contraindicated

Answer 41

All combined hormonal contraception

Question 42

Main adverse effect of the implant

Answer 42

Irregular menstrual bleeding

Question 43

What emergency contraceptive should be used caution with patients with severe asthma

Answer 43

Ulipristal (EllaOne)