Contraception

Question 1

1 missed COCP

Answer 1

take missed now, continue as normal

Question 2

2 or more missed COCP in week 1

Answer 2

take last missed now,

Emergency contraception if had sex in week 1 or during pill break

Question 3

2 or more missed COCP in week 2

Answer 3

take last missed pill now

Continue pack as normal

Question 4

2 or more missed COCP in week 3

Answer 4

take last missed pill now
Finish pack
Omit pill break

Question 5

Woman taking antiepileptics other than lamotrigine

Answer 5

COCP and POP are UKMEC3

Depo-provera, IUD and IUS are UKMEC 1

Question 6

Woman taking lamotrigine

Answer 6

COCP is UKMEC3

POP, implant, Depo-Provera, IUD, IUS are UKMEC 1

Question 7

over 35 and smoking more than 15

Answer 7

UKMEC4 for COCP

offer POP or IUS

Question 8

migraine with aura

Answer 8

UKMEC4 for COCP

Question 9

Implant (Nexplanon) contraindications

Answer 9

Current breast cancer UKMEC4

UKMEC3: past breast cancer, ischaemic heart disease, liver disease, antiphospholipid antibodies

Question 10

POP contraindications

Answer 10

UKMEC4: pregnacy, breast cancer in last 5 yrs
UKMEC3: liver disease, enzyme inducers, breast cancer over 5 yrs ago, undiagnosed vaginal bleeding

Question 11

history of thromboembolic disease

Answer 11

UKMEC4 for COCP

3 for implant

Question 12

breastfeeding

Answer 12

UKMEC4 for COCP

Question 13

major surgery with prolonged immobilisation

Answer 13

UKMEC4 for COCP

Question 14

more than 35 years old and smoking less than 15 cigarettes/day

Answer 14

UKMEC3 for COCP

Question 15

BMI > 35 kg/m^2*

Answer 15

UKMEC3 for COCP

Question 16

migraine without aura and more than 35 years old

Answer 16

UKMEC3 for COCP

Question 17

family history of thromboembolic disease in first degree relatives

Answer 17

UKMEC3 for COCP

Question 18

controlled hypertension

Answer 18

UKMEC3 for COCP

Question 19

uncontrolled hypertension

Answer 19

UKMEC4 for COCP

Question 20

immobility e.g. wheel chair use

Answer 20

UKMEC3 for COCP

Question 21

breast feeding 6 weeks - 6 months postpartum

Answer 21

UKMEC3 for COCP

Question 22

UPSI

Answer 22

Levonorgestrel (Levonelle One) or Ulipristal acetate (ellaOne) or Cu-IUD

Question 23

UPSI

Answer 23

Ullipristal acetate (EllaOne) or Cu-IUD

Question 24

what is the preferred form of emergency contraception?

Answer 24

all women should be offered CU-IUD as it is the most effective and provides LARC.

Question 25

Which forms of contraception are unaffected by enzyme inducers?

Answer 25

Cu-IUD
IUS
Depo-Provera (assoc with weight gain)

Question 26

For how long does a woman not require contraception postpartum?

Answer 26

21 days.

If breastfeeding, offer additional contraception

If exclusively breastfeeding, women may rely on lactational amennorrhoea