Contraception

Question 1

How many coc pills do you need to take to be protected?

Answer 1

If you start on the 1st of your period you are protected straight away, otherwise, wait 7 pills

Question 2

What is the most effective way to take the coc pill?

Answer 2

Never have a period and constantly use hormonal pills

Question 3

What happens if you miss one pill? Two pills?

Answer 3

One pill-take it as soon as you realise and do nothing

2 pills-you are not covered until you’ve taken 7 consecutive pills

Question 4

How does cocp prevent pregnancy?

Answer 4

Prevents ovulation

Question 5

What are the contradictions for using cocp?

Answer 5

BMI>30
Smoker
Factor V Leiden
Breast feeding
Immobility
Family history of DVT
Migraine with aura

Question 6

What are the side effects of cocp?

Answer 6

Irregular bleeding
Breast tenderness
Nausea

Question 7

How does cocp affect cancer?

Answer 7

Increases risk for cervical

Protective for ovarian and endometrial

Question 8

What is the mechanism of pop?

Answer 8

Thickens cervical mucus so sperm cannot penetrate

if high enough dose-can also prevent ovulation

Question 9

What are the contraindications of pop?

Answer 9

Pregnancy

Recent breast cancer

Question 10

What should a woman do if she misses one pop?

Answer 10

Wait 2 days before she is protected

Question 11

What are the contraindications of copper IUD?

Answer 11

Chlamydia and or gonorrhoea and wilson’s disease. Always do a pelvic exam first

Question 12

How does the copper IUD work as an emergency contraceptive?

Answer 12

It can be inserted up to 5 days after ovulation (ECP has to be before)
Fertilised eggs take approx 7 days to move along the fallopian tubes and implant.