Contraception

Question 0

What is the failure rate of IUD and IUS?

Answer 0

IUD 0.6
IUS 0.2
Basically less that 1 % over the time period

Question 1

What hormones are in the IUS?

Answer 1

Progesterone

Question 2

How long can IUD be left in for?

Answer 2

5-10 years

Question 3

How does IUD prevent pregnancy?

Answer 3

Copper ions are toxic to sperm and ova

Produces jnflammatory conditions in uterus

Question 4

What is the risk of expulsion of IUD/IUS?

What can be done to minimise this producing pregnancy?

Answer 4

1:20

Check threads after every period or once a week?

Question 5

When during the me natural cycle should an IUD be fitted?

When is it effective from?

Answer 5

During the first 14 days

Effective from insertion

Question 6

What is the rate of ectopic per pregnancy with an IUD?

Answer 6

1 in 20 pregnancies

Question 7

What is the rate of ectopic with IUD in women years

Answer 7

0.2 per 100 women years

Question 8

What is a “woman year”

Answer 8

A year in the life of a sexually active woman or reproductive age

Question 9

What is the risk of ectopic in general population?

Answer 9

1%

Question 10

For how long is the risk of infection higher post IUD insertion?

Answer 10

3 weeks

Question 11

How many days after fertilisation doe implantation occur?

Answer 11

6-12 days

NOT SOONER THAN 5

Question 12

How many days after unprotected sex or ovulation can an IUD be fitted?

Answer 12

5 days post insertion

Question 13

What drug doe Ella 1 contain?

What category is this drug?

Answer 13

Ulipristal acetate

Selective progesterone receptor modulator

Question 14

What drug is in levonelle?

Answer 14

Levonorgestrel

Question 15

What drugs may levonelle or ella1 interact with?

Answer 15

Enzyme inducers

Question 16

How quickly after taking levonelle/ Ella 1 does a person have to vomit to require another dose?

Answer 16

2 hours after levonelle

3 hours after Ella 1

Question 17

After taking hormonal emergency contraception what will happen to periods?

Answer 17

Next period may be delayed
May get some bleeding before then

Can take a pregancy test if concerned

Question 18

What three criteria does a woman need for breast feeding to be an effective contraception?

Answer 18

• amenhorreic
• exclusively breast feed
• less than 6 months after baby

Question 19

How long after a vasectomy do you need to wait for it to be reliable?

Answer 19

Around 2 months until they have two clear samples of semen

Question 20

What’s the difference between a diaphragm and a cap?

Answer 20

Cap just covers cervix/ diaphragm also covers the anterior wall

Question 21

What is another term for levongesteral releasing IUS?

Answer 21

Mirena coil