Contraception

Question 1

What are 3 methods of taking combined hormonal contraceptives and how often are they administered?

Answer 1

Pill (daily), patch (weekly) and vaginal ring (monthly)

Question 2

If break out bleeding where to occur with continuous use of the CHC pill, what would be advised?

Answer 2

Abstinence from the pill for 4-7 days

Question 3

Does the vaginal ring have to in place throughout the 3wks for it to remain effective?

Answer 3

No; can be removed for <3hrs a day (e.g. during intercourse) without an effect on its contraceptive efficacy

Question 4

How do progesterone only contraceptives work with regards to contraception?

Answer 4

Primarily through thickening of cervical mucus; role in suppression of ovulation and creating a inhospitable endometrium

Question 5

What advise should be given to patients taking POP?

Answer 5

Take at some time every day; if more than 3hrs late use back up method (e.g. condoms) for 1wk

Question 6

What is important to mention to patients who opt for the depot injection of progestogen?

Answer 6

Lowered fertility may persist fro months after discontinuation

Question 7

If a woman had just given birth, which method of contraception would be advised?

Answer 7

POC; preferable during lactation

Question 8

What is the MOA of IUDs?

Answer 8

Prevent fertilisation occurring; progestogen IUD also suppresses ovulation and thickens cervical mucus

Question 9

Does the copper IUD effect fertility once removed?

Answer 9

No

Question 10

How long may it take for women to become amenorrhoeic when taking the progestogen IUD?

Answer 10

6-12mths