Contraceptive

Question 1

How long after initiation of contraception with IUD, POP and COC, IUS, implant can they be relied upon as a method of contraception

Answer 1

instant: IUD
2 days: POP
7 days: COC, injection, implant, IUS

Question 2

What to do if missed pill in POP?

Missed pills

Answer 2

if < 3 hours* late: continue as normal
if > 3 hours*: take the missed pill as soon as possible, continue with the rest of the pack, extra precautions (e.g. condoms) should be used until pill taking has been re-established for 48 hours

Question 3

Mode of action for COCP

Answer 3

inhibits ovulation

Question 4

Mode of action for POP;

Answer 4

thickens cervical mucus

Question 5

Mode of action for Desogestrel only pill;

Answer 5

inhibits ovulation

Question 6

Mode of action for injectable contraceptive

Answer 6

inhibits ovulation

Question 7

Mode of action for IUD :

Answer 7

decreases motility and survival of sperm

Question 8

Mode of action for IUS

Answer 8

prevents proliferation of endometrium

Question 9

Which contraceptives may decrease bone mineral density in women?

Answer 9

Depo Provera (injectable contraceptive). This is because Depo Provera, which contains the hormone medroxyprogesterone acetate, has been associated with a decrease in bone mineral density (BMD) in some women.

Question 10

What is is the most effective form of contraception?

Answer 10

Implanon was the original non-biodegradable

Question 11

Where is Implanon inserted?

Answer 11

non dominant hand subdermal

Question 12

When can Implanon be inserted after termination/ delivery ?

Answer 12

Immediately

Question 13

What contraceptives that are unaffected by EIDs ?

Answer 13

Copper intrauterine device 1st line
Progesterone injection (Depo-provera)
Mirena intrauterine system

Question 14

When can regular contraception be restarted after emergency contraception; Levo and Uliprastat?

Answer 14

After taking levonorgestrel as EC, patients can restart their pill immediately. This is in contrast to ulipristal where they are generally advised to wait 5 days

Question 15

What is the mode of action for Levo and when should it be taken?

Answer 15

acts both to stop ovulation and inhibit implantation
within 72 hours of unprotected sexual intercourse (UPSI)

Question 16

Weight and Levo?

Answer 16

single dose of levonorgestrel 1.5mg (a progesterone)

Question 17

What is the mode of action for Ulipristal ?

Answer 17

inhibition of ovulation

Question 18

What is the chronic condition tath Ulipristal ella one cannot be taken with

Answer 18

Asthma

Question 19

When should Ulipristal be taken ?

Answer 19

no later than 120 hours after intercourse- 5 days

Question 20

Ulipristal and breastfeeding?

Answer 20

breastfeeding should be delayed for one week after taking ulipristal. There are no such restrictions on the use of levonorgestrel

Question 21

When to restart contraception after Ulipristal?

Answer 21

Contraception with the pill, patch or ring should be started, or restarted, 5 days after having ulipristal. Barrier methods should be used during this period

Question 22

What is the most effective method of emergency contraception?

Answer 22

Intrauterine device (IUD)

Question 23

How long after Post-partum is Contraception needed?

Answer 23

After giving birth, women require contraception after day 21.

Question 24

When can the IUD system snd pop be inserted post-partum?

Answer 24

The intrauterine device or intrauterine system can be inserted within 48 hours of childbirth or after 4 weeks.

at any time postpartum.’

Question 25

what are major contradictions for cocp

Answer 25

Examples of UKMEC 3 conditions include more than 35 years old and smoking less than 15 cigarettes/day BMI > 35 kg/m^2* family history of thromboembolic disease in first degree relatives < 45 years controlled hypertension immobility e.g. wheel chair use carrier of known gene mutations associated with breast cancer (e.g. BRCA1/BRCA2) current gallbladder disease

Question 26

What is the main disadvanted / se of starting the POP?

Answer 26

Irregular vaginal bleeding