contraception

Question 1

post partum contraception

when can an IUD/IUS be fitted?

Answer 1

within 48 hours

4 weeks after

Question 2

5 weeks postpartum 24 year old Mum wants contraception, what can be offered?

what is contraindicated

Answer 2

POP is suitable from 4 weeks (contraception is only needed from 3 weeks on)
Nexplanon

Mirena/ copper coil

COCP is contraindicated in less than 6 weeks

Question 3

Rifampicin is a known enzyme inducer

how does this affect contraception

Answer 3

nexplanon (subdermal contraceptive implant)

combined hormonal preparations

but depo-provera injection safe from

Question 4

COCP protective against which cancers?

Answer 4

ovarian and endometrial due to oestrogenic effects

but increased risk of breast and cervical

Question 5

why does cocp affect risk of cervical cancer

Answer 5

changes susc

Question 6

levonorgestrel as EC must be taken?

Answer 6

within 72 hours

Question 7

ulipristal must be taken upto

Answer 7

120 hours

Question 8

ulipristal MOA

Answer 8

selective progesterone receptor modulator

Question 9

desogestrel has a

Answer 9

12 hour window - cerazette

Question 10

what are the traditional POPs

Answer 10

Micronor, Noriday, Nogeston, Femulen

Question 11

after EC can hormonal contraception be started?
when?

Answer 11

depends of contraception
levonorgesterl - immeduately

ulipristal wait for 5 days

Question 12

asthmatic 15 year old needs EC

Answer 12

offer levonorgestrel

Question 13

active breast cancer contraception

Answer 13

ALL hormonal contraception contraindicated

barrier/ IUD only forms

Question 14

depo provera

Answer 14

inhibits ovulation

cervical mucus thickening and endometrial thinning

Question 15

Antiphospholipid antibodies

Answer 15

Anticardiolipin antibody IgG and IgM titres
Anti-beta2-glycoprotein I antibody IgG and IgM titres
Lupus anticoagulant

Question 16

absolute contraindications to copper coil?

Answer 16

PID

Question 17

which contraceptive is unaffected by enzyme inducers?

Answer 17

depo-provera - injectable

Question 18

oestrogen containing contraceptives should be stopped how long before elective surgergy?

Answer 18

4 weeks minimum

Question 19

what is the 5 day EC called?

Answer 19

Ulipristal
30mg single oral dose

delays ovulation
selective progesterone receptor modulator

ellaOne has been shown to be 2.5 times more effective than levonorgestrel when taken within 24 hours of unprotected sex

Question 20

what is the EC that you can take upto 72 hours

Answer 20

levonorgestrel 72 hours
1.5mg progesterone

ellaOne has been shown to be 2.5 times more effective than levonorgestrel when taken within 24 hours of unprotected sex