COCP

Question 1

function

Answer 1

inhibits ovulation

Question 2

advice on starting pill

Answer 2

if first 5 days of ovulation:
no need for addition protection

if started on any other day:
additional protection for 7 days

Question 3

rules for missing the pill

Answer 3

week 1:
emergency contraception should be considered if she had unprotected sex in pill free interval or during week 1

week 2:
no emergency contraception needed only if week 1 was followed properly

week 3:
finish pills in current pack and skip the next pill free interval

Question 4

disadvantages

Answer 4

breast cancer
cervical cancer
stroke
ischaemic heart disease
VTE

Question 5

how are contraindications classed

Answer 5

into 4 groups:
1 - a condition the patient has and it doesn’t restrict contraception
2 - advantages of contraception are favoured
3 - disadvantages of pill are favoured
4 - complete contraindication

Question 6

what is under group 3 and 4 contraindication

Answer 6

>35 yrs
>BMI 35
immobility 
genes associated with breast cancer
migraine
history of VTE, stoke, ischaemic

Question 7

when can you give it post partum

Answer 7

> 6 weeks post partum