Other

Question 1

Levonorgestrel

Answer 1

Prevents ovulation + fertilisation
Dose = 1500 mg within 72 hours of unprotected sex.
Vomiting = if less than 3 hours, give replacement dose.

Question 2

Levonorgestrel - caution

Answer 2

• Crohns disease (severe malabsorption syndromes)
• Past ectopic pregnancy
• Ciclosporin (toxicity)

Question 3

Parenteral contraception

Answer 3

Medroxyprogesterone injection
Norethisterone injection
Etonogestrel implant

Question 4

Medroxyprogesterone injection

Answer 4

• 2 years
• Delay in return to fertility + menstrual irregularities
• Osteoporosis risk

Question 5

Norethisterone injection

Answer 5

8 weeks

Question 6

Etonogestrel implant

Answer 6

• 3 years
• MHRA warning = reports of neurovascular injury and migration of implant to lung (via pulmonary artery). Must be inserted by a trained professional to reduce this risk. Inform patients that implant must be palapble - otherwise locate and remove ASAP. If cannot location in arm, use chest imaging.

Question 7

Spermicidal

Answer 7

Chemical disrupt and immobilise sperm.
Less effective than other methods, should be used with additional contraception e.g. condoms, caps, diaphragms
Not suitable for those at high risk of STI - associated with genital lesions and increased risk of acquiring infections.
Effective up to 1 hour after application