Contraception

Question 1

What are the SEs of the COCP?

Answer 1

Headache, nausea, breast tenderness, irregular bleeding.

Persist for 3-6m, should settle

Question 2

What is the COCP protective against?

Answer 2

Endometrial, ovarian and bowel cancer

Question 3

What are the contraindications to the COCP?

Answer 3

Migraines, VTE, HTN, smoke >15d and older than 35y, pregnancy, BMI >40, current breast or endometrial cancer, liver disease, DM with vascular complications

Question 4

What is the duration of the implant? Which hormone does it contain?

Answer 4

3 years.

Contains Etonorgestrel

Question 5

What SEs should you discuss with the progestogen emergency contraception

Answer 5

Irregular bleeding, delayed menstruation, breast tenderness, dizzy, diarrhoea, N/V (must repeat dose if within 2h

Question 6

Which EC cannot be used more than once in cycle?

Answer 6

Ulipristal

Question 7

What is the Mx of smear results that show borderline changes?

Answer 7

Repeat smear in 6m. Reassure women - cells slightly changes but will probably go back to normal on their own.

Question 8

What steps are involved in ToP?

Answer 8

1. counsel patient + discuss which method to use
2. Give prophylactic Abx - metronidazole & doxycycline on day of ToP + continue doxy for 7d
3. Perform medical/surgical procedure
4. If Rh -ve mother give Anti-D, pain control
5. Future contraception