Contraception

Question 1

Which contraceptive method is unacceptable if you want to get pregnant within the next year?

Answer 1

The injection

All other forms stop working as soon as you stop taking them, the injection can take 2-15months to clear and for ovulation to resume

Question 2

When is the COCP contraindicated?

Answer 2

(Anything that increases risk of clots)
- Migraine with aura
- Atrial fibrillation
- Breast cancer
- Impaired cardiac function

Contains lactose

Risk with BMI >35, multiple risk factors for heart disease, organ transplant, undiagnosed breast mass, genetic predisposition for breast cancer

Question 3

What are the contraindications for Progesterone only pill?

Answer 3

• Breast cancer

Contains lactose

Risks with diseases that increase risk of clots, but not contraindicated

Question 4

What are the contraindications for the contraceptive injection?

Answer 4

• Breast cancer

Don’t give if trying to get pregnant soon

Question 5

What are the contraindications the implant contraception?

Answer 5

• Breast cancer

Question 6

What are the contraindications with using the intra-uterine non-hormonal contraceptive?

Answer 6

• Cervical cancer
• Elevated hCG levels
• Chlamydial/ gonorrhoea infection
• Low CD4 count (intreated HIV)

Question 7

What are the drug interactions with hormonal contraceptives?

Answer 7

(liver enzyme inducing drugs)

• Lamotrigine
• Topiramate
• Phenytoin
• Carbamazepine
• Rifampicin

Question 8

What are the different forms of emergency contraception?

Answer 8

• IUD: prevents fertilisation and implantation (up to 120hours after unprotected sex)
• Ulipristal Acetate: delays ovulation (up to 120 hours after)
• Levonorgestrel: delays ovulation (up to 72 hours after)