Contraception

Question 1

What contraception is safe in active breast cancer?

Answer 1

Copper Coil or Barrier

Question 2

Name the common UKMEC4 for the Combined Oral Contraceptive Pill? (7)

Answer 2

Uncontrolled Hypertension
Migraine with Aura
Clot/Stroke/Vascular/IHD/AF
Breast Cancer
Age 35 > Smoke
Liver Issues
Lupus

Question 3

Depo contraindication?

Answer 3

Osteoporosis

Question 4

For how long is contraception needed after last period?

Answer 4

2 Years post last period under 50
1 year post last period over 50

Question 5

When do pregnant women need contraception?

Answer 5

After 21 days

Question 6

What contraception can be used immediately after giving birth?

Answer 6

Pop and Implant any time

Question 7

When can copper coil be used after giving birth?

Answer 7

<48 hours or > 4 weeks

Question 8

Combined oral contraceptive pill is licensed up to what age?

Answer 8

50

Question 9

How does combined oral contraceptive pill prevent pregnancy?

Answer 9

Prevents ovulation and thickens mucus

Question 10

What are the different regimens for combined oral contraceptive pill? (3)

Answer 10

21 days on and 7 off
63 days on and 7 off
Continuous

Question 11

Name the common side effects of combined oral contraceptive pill? (7)

Answer 11

Unscheduled bleed
Breast tenderness
Mood changes
Headache
Hypertension
Clotting
Breast/cervical cancer

Question 12

What types of cancer can the combined oral contraceptive pill increase the risk of? (2)

Answer 12

Breast and Cervical

Question 13

What types of cancer can the combined oral contraceptive pill decrease the risk of? (3)

Answer 13

Endometrial
Ovarian
Colon

Question 14

When can you start combined oral contraceptive pill?

Answer 14

First day of cycle

Question 15

Do you need additional protection for starting combined oral contraceptive pill?

Answer 15

No additional up to day 5 of period after this need condoms for 7 days

Question 16

When switching from COCP how to swithc?

Answer 16

Finish one pack then start new pill pack without pill free period

Question 17

Switching from COCP to Pop?

Answer 17

Switch anytime with 7days use of condoms

Question 18

If you miss 1 COCP pill what to do?

Answer 18

Take asap even if 2 pills same day

Question 19

If you miss more than 1 COCP what to do?

Answer 19

Take asap and use condoms for 7 days if day 1-7 of packs

Question 20

How long can you delay taking Cerazette (desogestrel) pop mini pill for?

Answer 20

12 hours

Question 21

How does POP pill work?

Answer 21

thickens mucus and inhibits ovulation

Question 22

How soon are you protected after starting desogestrel (cerazette) pop mini pill?

Answer 22

Day 1-5 immediate protection
After this condoms for 2 days

Question 23

How often is the Depo injection needed?

Answer 23

12 Weeks

Question 24

How long can it take for fertility to return after Depo?

Answer 24

12 months

Question 25

What are the UKMEC 4's for Depo Injection? (4)

Answer 25

Active Breast Cancer IHD Unexplained Vaginal Bleed Liver issues

Question 26

How does Depo Injection work?

Answer 26

Inhibits ovulation

Question 27

If start Depo Injection on day 1-5 of period when is protection?

Answer 27

Immediate

Question 28

Side effects of Depo Injection? (7)

Answer 28

Weight Gain Osteoporosis Acne Decreased Libido Headache Flushing Hair Loss

Question 29

How long does Nexplanon last?

Answer 29

3 years

Question 30

What age is Nexplanon licensed for?

Answer 30

18-40

Question 31

How does Nexplanon help? (3)

Answer 31

Help with periods No weight gain No increased DVT risk

Question 32

Risks of Nexplanon (2)

Answer 32

Acne Problematic bleeding

Question 33

Name 5 common contraindications of Coils?

Answer 33

Pelvic Inflammatory Disease Immune Suppression Pregnant Unexplained Bleeding Fibroids

Question 34

Name the insertion risks of coils? (6)

Answer 34

Bleeding Pain Vasovagal Reaction Perforation Pelvic Inflmmatory Disease Expulsion

Question 35

Before putting coil in how to prepare?

Answer 35

No sex for 7 days or use condoms

Question 36

How long does copper coil protect for?

Answer 36

5-10 years

Question 37

What risk does copper coil pose?

Answer 37

Increase risk of ectopic

Question 38

How long can mirena coil be used as protection for?

Answer 38

5 years

Question 39

How long can mirena coil be used for HRT?

Answer 39

4 years

Question 40

Benefits of Mirena coil? (3)

Answer 40

Helps periods No effect on bones No clotting risk

Question 41

Risks of mirena coil (2)

Answer 41

Increased risk of ovarian cyst Increase risk of ectopics

Question 42

Can an under 16 be given contraceptive?

Answer 42

If meet Gillick competence and Fraser

Question 43

How to assess Fraser competence in under 16? (5)

Answer 43

Intelligent and Mature won't discuss with parents will have sex regardless risk of physical and mental health decline best interest

Question 44

Ullipristal and Levonorgestrel side effects?

Answer 44

Breats Sore Dizzy Menstral Irregular Nausea Back pain

Question 45

Name which two medications can be used up to 120 hours (5 days) as emergency contraception?

Answer 45

Ullipristal and Copper Coil

Question 46

Name which medicaiton can be used up to 72 hours as emergency contraception?

Answer 46

Levonorgestrel