Contraception

Question 1

Cervical position and fertility?

Answer 1

When fertile: cervix is high in vagina, soft and open

When less fertile: cervix is low in vagina, firm and closed

Question 2

In a 28 day cycle, which days are most fertile?

Answer 2

days 8-18

Question 3

Breast feeding method of contraception - what are the 3 criteria?

Answer 3

• exclusively breast feeding
• less than 6/12 post natal
• amenorrhoeic

Question 4

How often do you have to re-check contraception? I.e. how often will your GP want to see you?

Answer 4

Annually

Question 5

How does depo provera work?

Answer 5

Inhibits ovulation

Other effects: effect on cervical mucus, effect on endometrium

Question 6

What examinations do you need to do before you can put someone on depo provera?

Answer 6

• check BP and BMI before the first prescription
• check smear status if relevant
• consider risk factors for osteoporosis

Question 7

When can you start depo?

Answer 7

-can be started up to and including day 5 of the cycle WITHOUT the need for additional contraception

Question 8

Side effects of depoprovera?

Answer 8

• Weight gain
• Delay in return of fertility
• Irregular bleeding
• Possible risk of osteoporosis

Question 9

When is expulsion of IUD most likely to occur?

Answer 9

Most in the first 3/12