Contraception

Question 1

What is UKMEC 3 defined as?

Answer 1

Disadvantages generally outweigh the advantages

Question 2

What is a UKMEC 4 defined as?

Answer 2

Represents an unacceptable risk

Question 3

For the COCP what UKMEC Category does:
- BMI >35 indicate?

Answer 3

UKMEC 3

Question 4

For the COCP what UKMEC Category does:
- More than 35 years old and smoking more than 15 cigarettes per day indicate?

Answer 4

UKMEC 4

Question 5

For the COCP what UKMEC Category does:
- Migraine with aura indicate?

Answer 5

UKMEC 4

Question 6

For the COCP what UKMEC Category does:
- A family Hx of thromboembolic disease in first degree relatives indicate?

Answer 6

UKMEC 3

Question 7

For the COCP what UKMEC Category does:
- Breastfeeding <6 weeks postpartum

Answer 7

UKMEC 4

Question 8

For the COCP what UKMEC Category does:
- Current gallbladder disease indicate?

Answer 8

UKMEC 3

Question 9

For the COCP what UKMEC Category does:
- Current Breast cancer indicate?

Answer 9

UKMEC 4

Question 10

For the COCP what UKMEC Category does:
- Uncontrolled Hypertension indicate?

Answer 10

UKMEC 4

Question 11

For the COCP what UKMEC Category does:
- Being a carrier of known gene mutations associated with known breast cancer indicate (BRCA1/BRCA2)

Answer 11

UKMEC 3

Question 12

If 1 COCP is missed (at any time in the cycle) what should the patient do?

Answer 12

Take the last pill even if it means taking two pills in one day and then continue taking pills daily, one each day.

Question 13

If 2 or more COCP pills are missed during the first week of a ladies cycle (Day 1-7) what should the patient do regarding emergency contraception?

Answer 13

Emergency contraception should be considered if she had unprotected sex in the pill free interval or anytime in week 1.

Question 14

If 2 or more COCP pills are missed, should all the missed pills be taken once the patient realises?

Answer 14

No, take the last pill even if it means taking two within one day. Leave any earlier missed pills then continue taking pills everyday.

Question 15

If 2 or more COCP pills are missed in week 2 of a ladies cycle (days 8-14) what should be done in regards to emergency contraception?

Answer 15

There is no need for emergency contraception as long as the patient had taken the pill for 7 continuous days the week prior (however still use condoms for 7 days alongside just to be safe)q

Question 16

If a patient missed 2 or more COCP pills during week 3 of their menstrual cycle (days 15-21) what should be done?

Answer 16

She should finish the pills in her current pack and start a new pack the next day, thus omitting the pill free interval

Question 17

In all cases of missing 2 or more COCP pills, does a women need to use condoms or abstain from sex?

Answer 17

Yes, condoms or abstaining should be done for 7 days alongside pill reintroduction.

Question 18

Which cancers does the COCP reduce the risk of?

Answer 18

Ovarian and Endometrial

Question 19

Which Cancers does the COCP increase the risk of?

Answer 19

Breast and cervical cancer

Question 20

When should the COCP be started so as not to need additional contraception cover?

Answer 20

If started within first 5 days - if started at ANY other point in cycle then condoms 7 days additional cover.

Question 21

What is a common side effect with the Progesterone only pill?

Answer 21

Irregular bleeding.

Question 22

When can postpartum women (breastfeeding and non-breastfeeding) start the POP?

Answer 22

Can start it AT ANY TIME POSTPARTUM

Question 23

How long should additional contraception be used in a postpartum women starting the POP after 21 days of giving birth?

Answer 23

For the first 2 days.

Question 24

When can the intrauterine system be inserted post-partum?

Answer 24

Within 48 hours of childbirth or after 4 weeks.

Question 25

After giving birth when do women require contraception again?

Answer 25

After day 21

Question 26

What is the maximum age the COCP can be given to?

Answer 26

Can be continued to 50 years old (Becomes UKMEC 2 >40)

Question 27

What is the maximum age for the implant, POP or IUS?

Answer 27

Can be used beyond the age of 50 if wanted.

Question 28

Which Contraceptive can be used alongside HRT?

Answer 28

The POP can be used alongside HRT for contraception so long as the HRT has a Progesterone component.