Contraception

Question 1

What are the absolute contraindications for COCP?

Answer 1

1. Migraine with aura
2. Breastfeeding <6 weeks post-partum; non-breastfeeding <3 weeks
3. Age >35 + smoking >15 cigarettes/ day
4. Systolic >160mmHg or diastolic >95mmHg
5. Vascular disease
6. Current/Hx of VTE
7. Major surgery with prolonged immobilisation
8. Known thrombogenic mutations
9. Current/history IHD
10. Stroke (including TIA)
11. Complicated valvular and congenital heart disease
12. Current breast cancer
13. Diabetic vascular complications
14. Liver cirrhosis
15. Hepatocellular adenoma

Question 2

What are the risks of COCP?

Answer 2

VTE
MI/stroke
Breast cancer
Cervical cancer

Question 3

When can the implant/ injection/ POP be given after giving birth?

Answer 3

Any time

Question 4

When can the IUS/IUD be inserted after giving birth?

Answer 4

Within 48 hours or after 4 weeks

Question 5

When can combined medications be started after birth? (COCP, patch, vaginal ring)

Answer 5

Not-breastfeeding: 3 weeks

Breastfeeding: 6 weeks