Contraception

Question 1

COC action

Answer 1

Inhibits ovulation

Question 2

Progesterone only pill (excluding desogestrel) mechanism of action?

Answer 2

Thickens cervical mucous

Question 3

Desogestrel mechanism of action

Answer 3

Inhibits ovulation

also thickens cervical mucous

Question 4

Injectable contracaption

Answer 4

Inhibits ovulation

also thickens cervical mucous

Question 5

Implant

Answer 5

Inhibits ovulation

also thickens cervical mucous

Question 6

IUD

Answer 6

Decreases sperm motility and survival

Question 7

IUS

Answer 7

Prevents endometrial proliferation

also thickens cervical mucous

Question 8

Aura and MEC categories

Answer 8

COC - MEC 4
Progestogen based methods and IUS - MEC2
Only copper IUD is MEC1

Question 9

Most common side effects occurring within 6 months of IUS insertion?

Answer 9

Irregular bleeding

Question 10

Methods of emergency contraception

Answer 10

Levonogestrel 1.5mg
Ulipristal 30mg
Copper IUD (can be used within 5 days of unprotected sex or likely day of ovulation)

Question 11

How long do you have to deliver semen sample?

Answer 11

Must be delivered within 1 hour

Question 12

Which form of contraception is associated with weight gain?

Answer 12

Depo-provera

Question 13

Which form of contraception should you avoid in wheelchair users?

Answer 13

Should avoid COC as they are at a higher risk of DVT/PE (due to immobility)

Question 14

How long can you get away without contraception for after having a baby?

Answer 14

3 weeks if not breast feeding

Question 15

Absolute contraindication to IUD/IUS?

Answer 15

Pregnancy/pelvic inflammatory disease

Question 16

Someone starts COC and then develops migraine with aura what do you do?

Answer 16

Immediately stop COC and switch to progesterone only pill

Question 17

COC increases risk of which types of cancer?

Answer 17

Breast cancer, cervical cancer

Question 18

COC reduces risk of which types of cancer?

Answer 18

Endometrial cancer and ovarian cancer

Question 19

When is predicted ovulation?

Answer 19

14 days before the next cycle

Question 20

Where should the implant be inserted?

Answer 20

Subdermal, non-dominant arm

Question 21

When should you insert nexplanon?

Answer 21

This is a progesterone-only implant
Can be inserted up to and including day 5 of cycle. After this would need to use extra-precaution for 7 days

Licensed for use up to 3 years

Question 22

Primary mode of action of the implant

Answer 22

Inhibits ovulation

Question 23

Progesterone only pills and antibiotics?

Answer 23

No need for extra precautions

Question 24

Nexplanon and bleeding?

Answer 24

Can initially cause heavy bleeding

Question 25

The COC and surgery

Answer 25

Stop 4 weeks before surgery and start 2 weeks after

Question 26

Main adverse effect of nexplanon

Answer 26

Irregular menstrual bleeding

Question 27

Mechanism of IUD when used as emergency contraception?

Answer 27

Toxic to egg and sperm

Question 28

Pear l index 0.2

Answer 28

For every 1000 women using contraception, only 2 will become pregnant pearl index measures how many become pregnant per 100 women

Question 29

Most common side effect of POP?

Answer 29

Irregular bleeding