Contraception

Question 1

What is the primary mode of action of the COCP?

Answer 1

It inhibits ovulation

Question 2

What is the primary mode of action of the implant?

Answer 2

It inhibits ovulation

Question 3

What is the primary mode of action of the IUD?

Answer 3

It decreases sperm motility and survival

Question 4

How many days after unprotected sex is levongesterol effective?

Answer 4

3 days/ 72 hours

Question 5

Can levongesterol be used more than once in a menstrual cycle?

Answer 5

Yes- if indicated

Question 6

What is the primary mode of action of ulipristal?

Answer 6

Inhibit ovulation

Question 7

How many days is ulipristal effective for emergency contraception after unprotected sex?

Answer 7

120 hours/ 5 days

Question 8

How long should breast feeding be delayed after using ulipristal?

Answer 8

5 days

Question 9

What is the pearl index?

Answer 9

. The Pearl Index describes the number of pregnancies that would be seen if one hundred women were to use the contraceptive method in question for one year.

Question 10

Which types of contraception should be stopped after 2 years of amenorrhea?

Answer 10

Non-hormonal (e.g. IUD, condoms, natural family planning)

Question 11

Which contraception can be continued beyond the age of 50?

Answer 11

Implant, POP, IUS

Question 12

Which contraception should be stopped at 50?

Answer 12

COCP and depot

Question 13

If you miss a POP, what should you do?

Answer 13

If less than 3 hours late
no action required, continue as normal

If more than 3 hours late (i.e. more than 27 hours since the last pill was taken)

take the missed pill as soon as possible. If more than one pill has been missed just take one pill. Take the next pill at the usual time, which may mean taking two pills in one day
continue with rest of pack
extra precautions (e.g. condoms) should be used until pill taking has been re-established for 48 hours

Question 14

If you miss a COCP, what should you do?

Answer 14

If less than 12 hours late
no action required, continue as normal

If more than 12 hours late (i.e. more than 36 hours since the last pill was taken)

take the missed pill as soon as possible. If more than one pill has been missed just take one pill. Take the next pill at the usual time, which may mean taking two pills in one day
continue with rest of pack
extra precautions (e.g. condoms) should be used until pill taking has been re-established for 48 hours