Contraception

Question 1

What are the 4 MEC classes

Answer 1

1. Category 1: This is where there is no significant risk
2. Category 2: This is where the advantages outweigh the risks
3. Category 3: This is where the disadvantages outweigh the risks
4. Category 4: This is where there the risks are unacceptable

Question 2

What are the 2 contraindications for progesterone only

Answer 2

1. Less than 6 weeks postpartum or breast feeding
2. The BP is above 160/100

Question 3

What is the MOA of a progesterone only contraceptive

Answer 3

1. It thickens the mucus plug and prevents implantation

Question 4

What is the main problem with a progesterone only pill

Answer 4

It can only be given to highly motivated patients as if the pill is taken even 3 hours late it is considered a missed dose

Question 5

What are the contraindications for COC 7

Answer 5

1. Increased risk of thromboemboli
2. Cardiovascular risk factors
3. Breastfeeding
4. Migrane with arua
5. Breast cancer
6. Liver tumors
7. Enzyme drug inducers

Question 6

What causes increases risk of thromboembolic events in women

Answer 6

1. Less than 3 weeks post partum
2. Smoking more than 15/day over the age of 35
3. Prior DVT or PE

Question 7

What is the MOA of a COC

Answer 7

1. Inhibits ovulation
2. Thickens the cervical mucus
3. Prevents implantation

Question 8

What is the main benefit of a barrier method

Answer 8

It prevents STI and acts as a contraception method

Question 9

What is the contraindication for a barrier method

Answer 9

Latex allergy

Question 10

What is the contraindications of an IUD 5

Answer 10

1. Heavy menstruation
2. Dysmenorrhea
3. Distorted uterine cavity
4. High risk of STI or previous STI
5. Women that is clinically unwell with AIDs

Question 11

What is the mechanism of action of a Cu IUD

Answer 11

1. Spermicidal
2. Prevents implantation of the fertilised egg

Question 12

What are the contraindications of Levonorgestrel-Releasing Intrauterine System

Answer 12

1. Uterine cavity distortion
2. Active STI
3. Clinically unwell with AIDs

Question 13

What is the Yuzpe method and what is it used for

Answer 13

This is where high doses of ordinary COCs are taken as an emergeny contraception method

Question 14

For how long is emergency contraception effective

Answer 14

120 hours

Question 15

When are pill method emergency contraceptives most effective

Answer 15

24-48 hours after

Question 16

What does the billings ovulation method use to check for the chances of getting pregnant

Answer 16

Changes in cervical mucus

Question 17

What does the sympto- thermal method use

Answer 17

It monitors temp throughout the cycle

Question 18

What is the lactational amenorrhea method

Answer 18

Utilises the physiological pause in ovulation in the postpartum period when a mother is breastfeeding

Question 19

What are the criteria that must be upheld for the lactational amenorrhea method to be effective 3

Answer 19

1. Exclusive breastfeeding
2. Menses have not returned
3. Baby is less than 6 months