contraception

Question 1

how long after giving birth can you get pregnant?

Answer 1

21 days

Question 2

when can you start COCP after giving birth?

Answer 2

after 6 weeks if breast feeding

Question 3

which cancer is the COCP protective against and which does it increase the risk for?

Answer 3

COCP protects against the cancers that present indolently in older age (endometrial, ovarian, bowel)

but increases risk of the ones we screen for (breast, cervical)

Question 4

what do you need to do if traditional progesterone only pill is 3 hrs late? (micronor)

Answer 4

• take the missed pill as soon as possible. If more than one pill has been missed just take one pill. Take the next pill at the usual time, which may mean taking two pills in one day
• continue with rest of pack
• extra precautions (e.g. condoms) should be used until pill taking has been re-established for 48 hours
• if less than 3 hours, no action is required

Question 5

when is action required if you take the POP desogestrel late?

Answer 5

> 12 hours

- so 36 hours since the last dose

Question 6

what should be done if one COCP is missed?

Answer 6

take the last pill even if it means taking two pills in one day and then continue taking pills daily, one each day
no additional contraceptive protection needed

Question 7

what to do if 2 COCP are missed?

Answer 7

take the last pill even if it means taking two pills in one day, leave any earlier missed pills and then continue taking pills daily, one each day

the women should use condoms or abstain from sex until she has taken pills for 7

Question 8

do you need emergency contraception if COCP was missed twice in week 1?

Answer 8

yes

Question 9

do you need emergency contraception is COCP was missed twice in week 2?

Answer 9

no

Question 10

what to do if COCP is missed twice in week 3

Answer 10

in week 3 (Days 15-21): she should finish the pills in her current pack and start a new pack the next day; thus omitting the pill free interval

Question 11

when can the copper coil be used as emergency contraception?

Answer 11

The copper intrauterine device can be inserted for emergency contraception within 5 days after the first unprotected sexual intercourse in a cycle, or within 5 days of the earliest estimated date of ovulation, whichever is later

• ovulation is day 14