Contraception

Question 1

Condom

Answer 1

Male: 98% effective

Female: 95% effective

Diaphragm:silicon cups with spermicide 92-96% effective

Question 2

What is contraception?

Answer 2

The prevention of conception by the use of birth control devices or methods

Question 3

Two types of contraception

Answer 3

Non hormonal- barrier methods,
Intrauterine devices, fertility awareness surgical(vasectomy, sterilisation)

Hormonal - implant, pill, injection, intrauterine system

Question 4

Intrauterine device - copper coil

Answer 4

Small T- shaped device thickens cervical mucus,can remain for l0 years, 99% effective

Question 5

Fertility awareness method

Answer 5

Monitor cycle, takes 3-6 months to establish, can be 99% effective

Question 6

Surgical intervention

Answer 6

Male sterillisation seal the tubes that carries sperm 99%.

Female sterilisation is wren the flapion tubes get blocked or sealed 99%

Question 7

Oestrogen does what?

Answer 7

Suppresses ovulation.

Question 8

Progestogen does what?

Answer 8

Prevents sperm reaching egg and prevents implantation

Question 9

Combined oral contraceptive pill

Answer 9

There are two types of hormone and diff versions of the pill

① monophasic, this is when all pills have the same amount of drug 21 pills with 7 day break

② phasic, this when the pills have different amounts of drug depending on cycle

Question 10

Who doesn’t use the COCP pill

Answer 10

Women that suffer with migraines they are offered the mini pill and DVT sufferers as it increases blood clots

Question 11

COCP and cancer

Answer 11

Positive: reduces the risk of some cancer like ovarian cancer

Negative: increased risk of breast cancer

Question 12

COCP side effects

Answer 12

Common: acne, weight gain, headaches mood change

Uncommon: acopecia, hypertension

Rare: VTE

Question 14

Progesterone only pill (mini pill)

Answer 14

One pill everyday, 99% effective 92% with typical use

Question 15

POP pill side effects

Answer 15

① common;.headache,. Nausea menstrual cycle changes

②uncommon:alopecia , ovarian cyst

Question 16

Patch

Answer 16

Transdermal delivery oestrogen and progesterone, applied once every 3 weeks then a a patch free week . 99% effective if used correctlym

Question 17

Vaginal ring

Answer 17

Inserted monthly vaginal delivery of oestrogen and progesterone, 99% effective of used correctly

Question 18

Implant

Answer 18

Progestogen, inserted every 3 years 99% effective

Question 19

Injection

Answer 19

Progestogen, injected every 13 weeks, 99% effective of

Question 20

Drug interactions of pill

Answer 20

Lots of drug interractions: Rcgpppas important ones include alcohol smoking and St Jhons wort

Managed by:double dosing,. hormonal contraception. Or using progesterone only