Contraception

Question 1

How does the morning after pill levonorgestrol work?

Answer 1

inhibits ovulation

Question 2

what is the only contraindication to the male condom

Answer 2

latex allergy

Question 3

What is a contraindication to IUD?

Answer 3

PID

Question 4

How does copper coil work?

Answer 4

creates environment toxic to sperm

Question 5

which barrier contraception provides greatest protection against STIS?

Answer 5

Male condom

Question 6

What is UK-MEC?

Answer 6

UK Medical Eligibility Criteria for Contraceptive Use
help decide which contraceptives are SAFE for patient
(category 1-4)

Question 7

Category 1 UK-MEC = ?

Answer 7

no restriction

Question 8

Category 2 UK-MEC = ?

Answer 8

benefits outweigh risks

Question 9

Category 3 UK-MEC = ?

Answer 9

risks outweigh benefits

Question 10

Category 4 UK-MEC = ?

Answer 10

UNACCEPTABLE HEALTH RISK if used!

Question 11

Name some contraindications for combined hormonal contraception (cat 3/4 uk-mec)

Answer 11

Migraine with aura
VTE
Hypertension
Ischaemic heart disease
Stroke
Breast cancer
Smoker >35 years
BMI>35

Question 12

Migraines with aura are a contraindication for combined hormonal contraception. True or false?

Answer 12

true

Question 13

Combined hormonal contraception can come in the form of a Pill (daily). Or what else?

Answer 13

patch (weekly)
vaginal ring (monthly)

Question 14

Name some oestrogenic side effects from combined hormonal contraception.

Answer 14

Breast tenderness
Nausea
Headaches
Vaginal discharge

Question 15

Name some progestogenic side effects from combined hormonal contraception.

Answer 15

Acne
Hirsutism
Mood swings, low mood
Breakthrough bleeding

Question 16

Name 3 names of COCP

Answer 16

Yasmin
Microgynon
Cilest

Question 17

How do you take monophasic pills?

Answer 17

one a day for 21 ds then none for 7ds

Question 18

Name a pill which is safest for VTE risk

Answer 18

microgynon (contains levornorgesterol)

Question 19

If you miss your pill, you can take it ____ hours later

Answer 19

72hrs.

Question 20

you forget to take your pill for more than 72hrs. What do you do?

Answer 20

use condoms for 7 days, assess need for emergency contraception

Question 21

Name a progesterone only pill.

Answer 21

Cerelle

Question 22

Dianette is a COCP but only used in what condition

Answer 22

PCOS

Question 23

What is main side effect of POP?

Answer 23

irregular bleeding

Question 24

What are LARCs?

Answer 24

long acting reversible contraceptives
administered less than once a month
>99% effective.
implant, injectables, coils

Question 25

What is main side effect of implant?

Answer 25

irregular bleeding

Question 26

What is implant example

Answer 26

Implanon (Etonorgestrel)

Question 27

How long does implant last?

Answer 27

3yrs

Question 28

What is injectable example

Answer 28

Depo-Provera | intra-muscular progesterone

Question 29

How long does Depo-Provera last

Answer 29

3 months (12wks)

Question 30

Which is the ONLY contraceptive method that has actually been proved to cause weight gain?

Answer 30

Depo-provera injection

Question 31

Which is the only method where they may be a delay back to fertility?

Answer 31

Depo-provera injection | may also reduce bone density

Question 32

Give me three risks of the coil

Answer 32

infection perforation ectopic pregnancy

Question 33

What does Mirena contain?

Answer 33

levonorgestrol Mirena can be used as endometrial protection when oestr only HRT!

Question 34

How long does Mirena last

Answer 34

5yrs

Question 35

Which is the barrier method you use with spermicide?

Answer 35

diaphragm (96% effective)

Question 36

What is efficacy of female condom

Answer 36

95%

Question 37

Which is the least risky method of female sterilisation

Answer 37

hysteroscopic (outpt, safer than laparoscopy/otomy!) (fallopians clipped/blocked)

Question 38

What are the three options for emergency contraception?

Answer 38

copper coil levonelle ulipristal acetate

Question 39

How soon after unprotected sex must you get copper coil as emergency contraception?

Answer 39

5 days

Question 40

How many hours after unprotected sex can you use Levonelle? (levonorgestrel)

Answer 40

72hours (less effective with time)

Question 41

How many hours after unprotected sex can you use EllaOne? (ulipritsal acetate)

Answer 41

120hours (less effective with time)

Question 42

How do Levonelle and EllaOne work?

Answer 42

inhibit ovulation ``` ellaOne = ulipristal acetate levonelle = levonorgestrel ```

Question 43

There's a new quadriphasic pill, QLaira, when do you take it?

Answer 43

26days , 2 days placebo, have to take tablets in order cos they go along with cycle

Question 44

Which new coil lasts 3yrs and gives a bit less levonorgestrel

Answer 44

Jaydess.