Contraception

Question 1

MECHANISM

IUD

Answer 1

Copper - spermicidal / intrauterine inflammation

Question 2

MECHANISM

IUS

Answer 2

Stops ovulation
increases cervical mucus
Thins endothelium

Question 3

MECHANISM

Implant

Answer 3

Stops ovulation
increases cervical mucus
thins endothelium

Question 4

MECHANISM

Contraceptive injection (depot)

Answer 4

Stops ovulation
increases cervical mucus
Thins endothelium

Question 5

MECHANISM

Sterilisation

Answer 5

Vas deferent cut and tied through skin / through scrotum under LA

Fallopian tubes clipped under GA

Question 6

MECHANISM

COCP

Answer 6

Stops ovulation
Increased cervical mucus
Thins endothelium

Question 7

MECHANISM

Contraceptive patch

Answer 7

Stops ovulation
Increases cervical mucus
Thins endothelium

Question 8

MECHANISM

Contraceptive vaginal rings

Answer 8

Stops ovulation
Increases cervical mucus
Thins endothelium

Question 9

MECHANISM

POP

Answer 9

Increases cervical mucus

Thins endothelium

Question 10

Advantages

COCP

Answer 10

Reduces bleeding / period pain

May help with PMS

Question 11

Advantages

Patch

Answer 11

Regular, light bleeds

Less period pain

Question 12

ADVANTAGES

Vaginal ring

Answer 12

Do not have to use every day - stays in for 3 weeks

Question 13

ADVANTAGES

POP

Answer 13

Can be used by smokers and > 35y

Periods stop / irregular / light / more frequent

Question 14

ADVANTAGES

IUD

Answer 14

Works for 5-10 years
Do not have to think about earlier

Can be used as emergency contraception

Question 15

ADVANTAGES

IUS

Answer 15

Works for 5 years

Do not have to think about earlier

Periods shorter, lighter, less painful

Question 16

ADVANTAGES

implant

Answer 16

Works for 3 years

may have spotting

Question 17

ADVANTAGES

Injection (depot)

Answer 17

Works for 8-13 weeks

Do not need to think about in this time

Question 18

ADVANTAGES

Sterilisation

Answer 18

Permanent

No long / short term SE

Question 19

DISADVANTAGES

COCP

Answer 19

Must remember to take every day

Hormonal side effects - mood swings, breast tenderness, headaches, fluid retention

Question 20

DISADVANTAGES

POP

Answer 20

Must remember to take every day at the same time

Hormonal side effects - irregular bleeds, breast tenderness, acne

Miss pilll - reduce effectiveness

Question 21

DISADVANTAGES

Implant

Answer 21

Small procedure for insertion

Hormonal side effects - breast tenderness, headaches, mood swings

Question 22

DISADVANTAGES

Depot injection

Answer 22

Can’t be removed - longer side effects

weight gain

time for fertility to return

Question 23

DISADVANTAGES

IUD

Answer 23

Insertion risks

Heavier, longer or painful periods

Question 24

DISADVANTAGES

IUS

Answer 24

Insertion risks

Irregular bleeds in first 6 mo

Question 25

CONTRAINDICATIONS COCP

Answer 25

``` Breastfeeding < 6w Breast ca Smoker > 35y Hypertensive history of VTE Migraine with aura ```

Question 26

CONTRAINDICATIONS POP

Answer 26

Forgetfulness Breast ca Undiagnosed PV bleed Liver disease

Question 27

CONTRAINDICATIONS IUD

Answer 27

Pelvic infection PID < 3mo Gynae ca undiagnosed PV bleed

Question 28

CONTRAINDICATIONS IUS

Answer 28

Pelvic infection PID < 3mo Gynae ca Undiagnosed PV bleed

Question 29

CONTRAINDICATIONS Implant

Answer 29

Liver / genital / breast ca | Undiagnosed PV bleed

Question 30

CONTRAINDICATIONS Sterilisation

Answer 30

Consideration of children in future

Question 31

CONTRAINDICATIONS Depot injection

Answer 31

Liver / genital / breast ca | Undiagnosed PV bleed

Question 32

CONTRAINDICATIONS Condom

Answer 32

Allergy

Question 33

MECHANISM condom

Answer 33

physical barrier

Question 34

ADVANTAGES Condom

Answer 34

Protects against STI

Question 35

DISADVANTAGES Condom

Answer 35

User failure | May slip off / split if not used correctly / not right size / shape

Question 36

MECHANISM Levonorgestrel pill

Answer 36

Delays ovulation Can be taken up to 72 hours after unprotected sex May cause irregularity in the menstrual cycle - not more than 3days!

Question 37

MECHANISM Ullipristal

Answer 37

Binds to progesterone receptors to delay ovulation Consideration if oral contraception to be used in the near future.