Contraception Flashcards

1
Q

How many days after childbirth does fertility return?

A

21 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

2 contraindications to COCP

A

wheelchair use

breastfeeding in first 6 weeks postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Where is the implant placed

A

subdermal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When can you insert a copper coil for emergency contraception

A

Up to 5 days after unprotected sex OR 5 days after the ovulation date

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What would you do if a women missed 1 COCP

A

They should take their missed dose as soon as possible with no extra precautions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What would you do if a women missed 2 COCP in week 1

A

They should take both pills today

Consider emergency contraception if she had unprotected sex during the pill-free interval or in week 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What would you do if a woman missed 2 COCP in week 2?

A

No emergency contraception is needed, as long as the previous 7 days of COCP have been taken correctly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What would you do if a women missed 2 pills in week 3?

A

Finish the pills in the current pack and start the new pack immediately, omitting the pill-free period

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Why should the COCP NOT be used in the first 21 days post partum?

A

Increased risk of VTE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When switching from an IUD to COCP is additional contraception needed?

A

No, if the IUD is removed in day 1-5 of the cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long do you have to wait until the POP is effective?

A

48 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which contraceptive should patients who have been assigned female at birth avoid if they are undergoing testosterone therapy

A

Contraceptives containing oestrogen as they can antagonise the effect of testosterone therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Does testosterone therapy protect against pregnancy?

A

No

and testosterone is teratogenic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What should trans female (assigned males) use as contraception?

A

Condoms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Give one example of a contraindication for injectable progesterone contraceptives

A

Current breast cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What should a women do if she is on the POP and required antibiotics

A

Nothing, there is no need for any extra precautions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What medication should be used with caution in patients with severe asthma

A

Ulipristal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Give one absolute contraindication for the copper IUD

A

Pelvic inflammatory disease

19
Q

At what age should you stop implantable contraceptives

20
Q

Which contraception has the longest delay in return to fertility

A

Depot injection

21
Q

How long do you need to wait after having Levonelle (levonorgesterel) for emergency contraception to restart the COCP or start it for the first time

A

Restart the COCP immediately after emergency contraception

22
Q

How long will it take until each contraceptive is effective (if not the first day period)?

A

Instant: IUD
2 days: POP
7 days: COC, implant, IUS

23
Q

When can the IUD or IUS be inserted after childbirth?

A

Within 48 hours or after 4 weeks

24
Q

When switching from a POP to COCP do you need additional barrier contraception?

A

Yes, 7 days of barrier contraception

25
Elective surgery COCP
Stop immediately and switch to POP
26
What cancers does the COCP increase and decrease the risk of?
Increased risk of breast and cervical | Decreased risk of ovarian and endometrial
27
When do women no longer need contraception?
Over 50 and amenorrhoeic for over 12 months | Under 50 and amenorrhoeic for over 24 months
28
When can the combined contraceptive pill be given postpartum?
It can be given if requested 6 weeks postpartum even if breastfeeding BUT they can get pregnant from 21 days postpartum so they need a pregnancy test before starting
29
What is the most appropriate contraception to consider when taking a long term antibiotic
Depo injection (for abx that are enzyme inducers e.g. rifampixin)
30
Is there any need for extra precautions with the POP and ABx
No
31
Migraine with aura even if just pins and needles up arm
32
Primary mode of action of the contraceptive implant
Inhibition of ovulation
33
Suspected STI and 5 days post intercourse
Ulipristal acetate (EllaOne)
34
How long should you wait after ulipristal (ellaone) before restarting hormonal contraception
5 days
35
What contraception can you not take with epilepsy drugs?
Hormonal | So use copper coil instead
36
How long are each of the emergency contraceptives effective for?
EllaOne (ulipristal): 120 hours Levonorgestrel: 72 hours IUD: 5 days
37
Which contraceptive method has no UKMEC caution for migraine with aura
Copper coil
38
Absolute contraindication for injectable progesterone contraceptives
Current breast cancer
39
What does the Pearl Index describe
the number of pregnancies that would be seen if one hundred women were to use the contraceptive method in question for one year 0.2 = 0.2/100 or 2/1000
40
When can you restart the COCP after surgery
2 weeks after
41
Women over 35 smoking more than 15 cigarettes a day - what contraception is contraindicated
All combined hormonal contraception
42
Main adverse effect of the implant
Irregular menstrual bleeding
43
What emergency contraceptive should be used caution with patients with severe asthma
Ulipristal (EllaOne)