POP

Question 1

how efffective is POP

Answer 1

more than 99% effective with perfect use, but less effective with typical use (91%).

Question 2

How is POP taken

Answer 2

continuously, unlike the cyclical combined pills

Question 3

UKMEC 4 criteria for the POP

Answer 3

active breast cancer

Question 4

2 types of pOP

Answer 4

Traditional progestogen-only pill (e.g. Norgeston or Noriday)

Desogestrel-only pill (e.g. Cerazette)

Question 5

what is considereded a missed pill for traditional progesterone only pill

Answer 5

Taking the pill more than 3 hours late is considered a “missed pill”.

Question 6

what is considered a missed pill for Desogestrel-only pill

Answer 6

Taking the pill more than 12 hours late is considered a “missed pill”.

Question 7

how does traditional POP work

Answer 7

Thickening the cervical mucus

Altering the endometrium and making it less accepting of implantation

Reducing ciliary action in the fallopian tubes

Question 8

best time to start pOP

Answer 8

Starting the POP on day 1 to 5 of the menstrual cycle means the woman is protected immediately.

Question 9

what to do if u start POP lateer than day 5

Answer 9

. Additional contraception is required for 48 hours.

Question 10

how to switch between POPs

Answer 10

POPs can be switched immediately without any need for extra contraception.

Question 11

mc se of POP

Answer 11

Unscheduled bleeding - common in first 3m then settles

Question 12

Other se of POP

Answer 12

Breast tenderness
Headaches
Acne

Question 13

how many ppl bleed from POP

Answer 13

20% have no bleeding (amenorrhoea)
40% have regular bleeding
40% have irregular, prolonged or troublesome bleeding

Question 14

What does POP increase ur risk of

Answer 14

Ovarian cysts
Small risk of ectopic pregnancy with traditional POPs (not desogestrel) due to reduce ciliary action in the tubes
Minimal increased risk of breast cancer, returning to normal ten years after stopping

Question 15

what to do if u miss a dose of POP

Answer 15

take a pill as soon as possible, continue with the next pill at the usual time (even if this means taking two in 24 hours) and use extra contraception for the next 48 hours of regular use.
Emergency contraception is required if they have had sex since missing the pill or within 48 hours of restarting the regular pills.