Contraception

Question 1

The day of ovulation is ___ days before the next period starts

Answer 1

14

Question 2

How long can sperm survive for?

Answer 2

Usually 5 days (up to 7)

Question 3

How long can an egg survive for post ovulation?

Answer 3

12-24 hours

Question 4

Using the calendar method, when is the fertile phase?

Answer 4

Day 7-16

Question 5

Using the calendar method, when is peak fertility?

Answer 5

Week before ovulation

Question 6

What causes the small rise in temperature post ovulation?

Answer 6

Progesterone - the day AFTER ovulation

Question 7

Using the temperature method, infertility is on the ___ evening of the temperature rise

Answer 7

3rd

Question 8

What is the 3/6 rule?

Answer 8

Temperature is up 3 days above the level of the previous 6 days

Question 9

What are three methods of fertility awareness?

Answer 9

• Calendar method
• Temperature method
• Mucus method

Question 10

Using the mucus method, on which day of her cycle is a woman infertile?

Answer 10

Fourth evening after peak mucus day

Question 11

Fertile mucus present __ -__ days before ovulation

Answer 11

0.5-4 days

Question 12

What is lactational amenorrhoea?

Answer 12

Temporary postnatal infertility that occurs when a woman is amenorrheic (not menstruating) and just fully breastfeeding

Question 13

Which methods of contraception have the best use continuation?

Answer 13

Long acting - IUD / implants

Question 14

What are first tier methods of contraception?

Answer 14

Sterilisation, implant, IUD

Question 15

What is the most common side effect of an IUD?

Answer 15

Bleeding in between periods

Question 16

What are the contents of the combined oral contraceptive?

Answer 16

• Low dose pill (oestradiol 35mcg or less)

- Second gen progestagin (norethisterone, levonorgestrel)

Question 17

What are the best contraceptive options for women taking medications that are enzyme inducers?

Answer 17

Depot or IUD

Question 18

What is the 7 day rule?

Answer 18

• Not safe from pregnancy until you have taken 7 active hormone pills in a row

Question 19

When should the 7 day rule be followed?

Answer 19

• Miss 2 hormone pills or take them more than 12 hours after the normal time
• Vomit within 3 hours of taking 2 hormone pills or have continued vomiting
• Have loose bowels several times

Question 20

What hormone is contained in the emergency contraceptive pill?

Answer 20

1.5mg levonorgestrel

Question 21

What is the mechanism of the ECP?

Answer 21

If given prior to ovulation, delays ovulation

Question 22

When should the post-coital IUD be inserted?

Answer 22

Within 5 days of ovulation

Question 23

What is the mechanism of low dose progestins as a contraceptive?

Answer 23

• Thickens cervical mucus

- Stops sperm from entering uterus

Question 24

What is depo provera?

Answer 24

• Intramuscular injection of high dose progestin
• Stops ovulation
• Need injection every 12 months

Question 25

What is the NuvaRing?

Answer 25

• Ring containing estradiol
• Left in for 3 weeks with one week out or not
• Prevents ovulation

Question 26

What is the mechanism of the copper IUD?

Answer 26

Copper acts as a spermicide

Question 27

Which hormone is contained in jadelle?

Answer 27

• Jadelle is an implant

- Contains levonorgestrel

Question 28

What is the main side effect of jadelle?

Answer 28

Spotting bleeding in between periods