coils

Question 1

copper coil

Answer 1

contains copper

hostile to pregnancy

Question 2

contraindications

Answer 2

PID 
immunosuppresion 
pregnancy 
unexplained bleeding 
pelvic cancer
uterine cavity distorsion e.g. fibroids

Question 3

risks relating to insertion

Answer 3

bleeding 
ain 
vagovagal reaction 
uterine perforation 
PID 
expulsion

Question 4

When the coil threads cannot be seen or palpated, three things need to be excluded:

Answer 4

expulsion
pregnancy
uterine perforatoin

Question 5

non-visible thread - initial Mx

Answer 5

extra contraception until coil located

USS

Question 6

copper coil mechanism

Answer 6

toxic to ovum and sperm

Question 7

copper coil - drawback

Answer 7

HMB

Question 8

copper coil - contraindication

Answer 8

Wilson’s disease

Question 9

copper coil - how long does it last

Answer 9

5-10yrs

Question 10

Mirena coil - how long does it last

Answer 10

5 years for contraception

4yrs for HRT

Question 11

Levonorgestrel Intrauterine System - MOA

Answer 11

thicken mucus

alter endometrium

Question 12

Levonorgestrel Intrauterine System - when to insert

Answer 12

up to day 7 - no need to additional contraception

after day 7 - condoms for 7 days

Question 13

Actinomyces-like organisms

Answer 13

often discovered incidentally during smear test of women with coil

dont require treatment if asymptomatic (removal)