Contraception Flashcards

1
Q

How many days after childbirth does fertility return?

A

21 days

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2
Q

2 contraindications to COCP

A

wheelchair use

breastfeeding in first 6 weeks postpartum

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3
Q

Where is the implant placed

A

subdermal

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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

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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

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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

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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

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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

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9
Q

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

A

Increased risk of VTE

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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

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11
Q

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

A

48 hours

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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

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13
Q

Does testosterone therapy protect against pregnancy?

A

No

and testosterone is teratogenic

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14
Q

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

A

Condoms

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15
Q

Give one example of a contraindication for injectable progesterone contraceptives

A

Current breast cancer

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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

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17
Q

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

A

Ulipristal

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18
Q

Give one absolute contraindication for the copper IUD

A

Pelvic inflammatory disease

19
Q

At what age should you stop implantable contraceptives

A

50

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
Q

Elective surgery COCP

A

Stop immediately and switch to POP

26
Q

What cancers does the COCP increase and decrease the risk of?

A

Increased risk of breast and cervical

Decreased risk of ovarian and endometrial

27
Q

When do women no longer need contraception?

A

Over 50 and amenorrhoeic for over 12 months

Under 50 and amenorrhoeic for over 24 months

28
Q

When can the combined contraceptive pill be given postpartum?

A

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
Q

What is the most appropriate contraception to consider when taking a long term antibiotic

A

Depo injection (for abx that are enzyme inducers e.g. rifampixin)

30
Q

Is there any need for extra precautions with the POP and ABx

A

No

31
Q

Migraine with aura even if just pins and needles up arm

A
32
Q

Primary mode of action of the contraceptive implant

A

Inhibition of ovulation

33
Q

Suspected STI and 5 days post intercourse

A

Ulipristal acetate (EllaOne)

34
Q

How long should you wait after ulipristal (ellaone) before restarting hormonal contraception

A

5 days

35
Q

What contraception can you not take with epilepsy drugs?

A

Hormonal

So use copper coil instead

36
Q

How long are each of the emergency contraceptives effective for?

A

EllaOne (ulipristal): 120 hours
Levonorgestrel: 72 hours
IUD: 5 days

37
Q

Which contraceptive method has no UKMEC caution for migraine with aura

A

Copper coil

38
Q

Absolute contraindication for injectable progesterone contraceptives

A

Current breast cancer

39
Q

What does the Pearl Index describe

A

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
Q

When can you restart the COCP after surgery

A

2 weeks after

41
Q

Women over 35 smoking more than 15 cigarettes a day - what contraception is contraindicated

A

All combined hormonal contraception

42
Q

Main adverse effect of the implant

A

Irregular menstrual bleeding

43
Q

What emergency contraceptive should be used caution with patients with severe asthma

A

Ulipristal (EllaOne)