contraception

Question 1

post partum contraception

when can an IUD/IUS be fitted?

Answer 1

within 48 hours

4 weeks after

Question 2

5 weeks postpartum 24 year old Mum wants contraception, what can be offered?

what is contraindicated

Answer 2

POP is suitable from 4 weeks (contraception is only needed from 3 weeks on)
Nexplanon

Mirena/ copper coil

COCP is contraindicated in less than 6 weeks

Question 3

Rifampicin is a known enzyme inducer

how does this affect contraception

Answer 3

nexplanon (subdermal contraceptive implant)

combined hormonal preparations

but depo-provera injection safe from

Question 4

COCP protective against which cancers?

Answer 4

ovarian and endometrial due to oestrogenic effects

but increased risk of breast and cervical

Question 5

why does cocp affect risk of cervical cancer

Answer 5

changes susc

Question 6

levonorgestrel as EC must be taken?

Answer 6

within 72 hours

Question 7

ulipristal must be taken upto

Answer 7

120 hours

Question 8

ulipristal MOA

Answer 8

selective progesterone receptor modulator

Question 9

desogestrel has a

Answer 9

12 hour window - cerazette

Question 10

what are the traditional POPs

Answer 10

Micronor, Noriday, Nogeston, Femulen

Question 11

after EC can hormonal contraception be started?
when?

Answer 11

depends of contraception
levonorgesterl - immeduately

ulipristal wait for 5 days

Question 12

asthmatic 15 year old needs EC

Answer 12

offer levonorgestrel

Question 13

active breast cancer contraception

Answer 13

ALL hormonal contraception contraindicated

barrier/ IUD only forms

Question 14

depo provera

Answer 14

inhibits ovulation

cervical mucus thickening and endometrial thinning

Question 15

Antiphospholipid antibodies

Answer 15

Anticardiolipin antibody IgG and IgM titres
Anti-beta2-glycoprotein I antibody IgG and IgM titres
Lupus anticoagulant