Contraception 2

Question 1

non-contraceptive methods of contraception?

Answer 1

heavy menstrual bleeding
painful/irregular periods
PMS
endometriosis
acne

Question 2

name the 3 CHC?

Answer 2

COC
patch
ring

Question 3

at what time in the cycle should you start taking CHC?

Answer 3

within 5 days of regular menstruation OR

at any time in cycle when sure not pregnant (still use condoms for 7 days)

Question 4

what should you ask about in PMH in someone wanting contraception?

Answer 4

GI conditions

Question 5

where is most COC absorbed in the body?

Answer 5

upper GI tract

Question 6

what antibiotic interacts with COC?

Answer 6

rifampicin

Question 7

risk factors for venous thromboembolism?

Answer 7

>6 weeks postnatally
obesity
smoking
age
known thrombophilia
1st degree relative <45 with it
long haul flights
altitude

Question 8

what is the VTE risk in pregnancy per 10,000 women?

Answer 8

21-30

Question 9

what is the VTE risk in pregnancy postnatally

Answer 9

300-400

Question 10

what is VTE risk from using COC?

Answer 10

5-10

Question 11

when should BP be checked in COC?

Answer 11

initially
3 months
annually

Question 12

migraine with aura increases the risk of what kind of stroke?

Answer 12

ischaemic

Question 13

how much of a breast cancer risk is there from taking COC?

Answer 13

1.24

Question 14

what kind of breast cancer family history is a contraindication to the pill?

Answer 14

BRCA gene

Question 15

how long after stopping COC does your cervical cancer risk reduce to baseline?

Answer 15

10 yrs

Question 16

there is a small increased cervical cancer risk with >_ year use of the pill

Answer 16

5

Question 17

what should be done before 1st prescription of COC?

Answer 17

BMI

BP

Question 18

there is a reduction in what cancer risks with COC?

Answer 18

endometrial

ovarian

Question 19

why can CHC help PMS?

Answer 19

blocking ovulation

Question 20

what side effects are more prevalent in the patch than other CHC?

Answer 20

more breast pain
nausea
painful periods

Question 21

what side effects are more prevalent in the ring than other CHC?

Answer 21

less bleeding problems
acne
irritability
mood changes

Question 22

when can the IUS be inserted?

Answer 22

anytime if no UPSI in past 3 weeks

Question 23

injection suppresses what hormone?

Answer 23

FSH

Question 24

why are you at risk of osteoporosis with the contraceptive injection?

Answer 24

suppresses oestrogen

Question 25

risk factors for low bone mineral density

Answer 25

smoke
age <18 or >45
low BMI (<20)
malabsorption
hyperthyroidism
amenorrhoea
non weight bearing