Contraception

Question 1

Methods of contraception

Answer 1

Natural
Barrier
Combined
Progestogen only
Coils
Progestogen injection
Progestogen implant
Surgery

Question 2

COntraindications to COCP

Answer 2

Uncontrolled hypertension
Migraine with aura
VTE history
Aged >35 and smoking >15
Major surgery - prolonged immobility
Vascular disease or strooke
Ischaemic heart diseasae
Cardiomyopathy
AD
Liver cirrhosis
Liver tumours
Systemic lupus erythematosus
Antiphospholipid syndrome

Question 3

Options for emergency contraception

Answer 3

LEvonorgestrel
Ulipristal - Ella one
Copper intrauterine device

Question 4

Time for levonorgestrel to be effective

Answer 4

72 hours

Question 5

Time for Ulipristal Ella one to be effective

Answer 5

120 hours - 5 days

Question 6

Time for copper coil to be effective

Answer 6

5 days within 5 days of ovulation

Question 7

Dose of levonestrel

Answer 7

1.5mg single does
3 mg >70kg or >26 BMI

Question 8

COCP missed one pill

Answer 8

Take missed pill asap
No extra protection necessary

Question 9

COCP missed more than 1 pill

Answer 9

Take most recent pill ASAP
Additional contraception needed until taken pill regularly for 1 week.
Id day 1-7 =emergency contraception
If day 8-14 = no emergency contracpotion
If day 15-21 = skip pill free period

Question 10

POP missed pill definition

Answer 10

> 3 hours for traditional
12 hours for desogestrel

Question 11

POP missed pill

Answer 11

Take asap with next pill at usual time
Use extra contraception for next 48 hours
Emergency contraception required if sex since missed pill or within 48 hours of restarting

Question 12

Frazer guidlines

Answer 12

1 Mature and intelligent enough to understand treatment
2 Can’t be persuaded to discuss with parents
3 Likely to have intercourse regardless
4 Physical or mental health is likely to suffer without treatment
5 Treatment is in their best interests