Contraception

Question 1

Describe LARC

Answer 1

Long acting reversible contraception.
Client does not have to worry about using it correctly.
less errors.

Question 2

Contraindications of POC.

Answer 2

<6 weeks post partum and breastfeeding
BP>160/80 (only injectable)

Question 3

Mode of action for POC.

Answer 3

Thicken cervical mucosa and prevent implantation.
Implanon and injectables also inhibits ovulation.

Question 4

Frequent complains of implanon.

Answer 4

Irregular bleeding and spotting.
amenorrhoeic at first.

Question 5

Name the POC injectables

Answer 5

DMPA and NET-EN

Question 6

Side effects of POC injectables.

Answer 6

Weight gain and heavy/pro-long bleeding.

Question 7

Which POC is commonly used in breastfeeding?

Answer 7

POP.

Question 8

What is the composition of Combined Hormonal Methods?

Answer 8

Oestrogen ethinyl estradiol and Progesterone

Question 9

Contraindications for COC.

Answer 9

> 40 years old
DVT
PE
Breastfeeding
Migraine with aura
breast cancer history
CVD
Liver Tumours
Enzyme induced drugs (HIV)

Question 10

Mode of action of COC.

Answer 10

Same as POC.

Question 11

Describe CU IUD

Answer 11

Inserted into the uterus transvaginally.
up 10-12 years
can also be used as a Emergency Contraceptive.

Question 12

Contraindications for CU IUD.

Answer 12

All IUD
Heavy menses
Dysmenorrhea
Distorted uterine cavity
Active STI

Question 13

Mode of action of Cu IUD.

Answer 13

Spermicidal via release of e- and prevents implantation of fertilised egg.

Question 14

Describe Mirena.

Answer 14

Levonorgestrel-releasing IUS
5 years
little progesterone released.

Question 15

Mode of action of Mirena.

Answer 15

Thickens mucous and prevent implantation

Question 16

What is emergency contraceptives?

Answer 16

POP and COC, taken in high dose.

Question 17

Describe Yuzpe (emergency contraceptive).

Answer 17

4 Nordette pills taken twice, 12 hours apart