Contraception

Question 1

How does the combined contraceptive patch work?

Answer 1

Works by wearing it for 3 weeks and then for the 4th week there is a withdrawal bleed

Question 2

What happens if patch delay is more than 48 hours?

Answer 2

You change immediately and use barrier contraception for 7 days.

Question 3

What cancer does the COCP tab reduce the risk of ?

Answer 3

Endometrial and ovarian

Question 4

What does the COCP increase cancer risk for?

Answer 4

Breast and cervical

Question 5

Would the following be a CI for the COCP?

more than 35 years old and smoking more than 15 cigarettes/day

Answer 5

YES

Question 6

Would the following be a CI for the COCP?

breast feeding < 6 weeks post-partum

Answer 6

YES

Question 7

Would the following be a CI for the COCP?

positive antiphospholipid antibodies (e.g. in SLE)

Answer 7

YES

Question 8

Would the following be a CI for the COCP?

BMI >35

Answer 8

YES

Question 9

What is the rule if you miss one of your COCP?

Answer 9

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 10

What is the rule if you miss two of your COCP?

Answer 10

If 2 or more pills missed you take the forgotten pill and then you also use barrier contraception for 7 days.

If missed in the first week of her cycle she will need emergency contraception

Question 11

What is the rule if you miss two of your COCP and it’s week 3 of your period ?

Answer 11

Don’t skip the pill free window

Question 12

What age can you use the COCP up till?

Answer 12

50

Question 13

What is the method of action for the COCP?

Answer 13

inhibits ovulation

Question 14

What is the method of action for the progestogen only pill?

Answer 14

Thickens cervical mucus

Question 15

How does the depot injection work?

Answer 15

Inhibits ovulation and thickens cervical mucus

Question 16

How does the copper coil work?

Answer 16

Decreases sperm motility and survival

Question 17

How does the mirena coil work?

Answer 17

Prevents endometrial proliferation
Thickens the cervical mucus

Question 18

Within what period of time should you take the levonorgestrel pill?

Answer 18

Within 72 hours

Question 19

Within how many hours should you take ulipristol?

Answer 19

120 hours

Question 20

How does levonorgestrel work?

Answer 20

Works by stopping ovulation and inhibition

Question 21

How does ulipristol work?

Answer 21

Stops ovulation

Question 22

Which emergency contraceptive should be cautioned in severe asthmatics?

Answer 22

Ulipristol

Question 23

When can a copper coil be used as EC?

Answer 23

5 days or longer then as long as within 5 days of ovulation.

Question 24

What layer of tissue does the implant sit at?

Answer 24

Subdermal

Question 25

How does the implant work?

Answer 25

Thickens cervical mucous
Inhibits ovulation

Question 26

Main adverse effect of the implant?

Answer 26

Heavy/irregular bleeding

Question 27

What should you do if you miss a POP dose?

Answer 27

Take it immediately and then use alternative contraception for 48 hours

Question 28

How late can you take Cerazette?

Answer 28

12 hours rather than the normal 3 hours