contraception

Question 1

what is an absolute contraindication to copper IUD?

Answer 1

PID - test + treat

Question 2

how do you test for PID? name 2 organisms that can cause it

Answer 2

endocervical swab
chlamydia trachomatis
neisseria gonorrhoeae

Question 3

what form of contraception can be used for menorrhagia?

Answer 3

IUS

Question 4

how does IUD work?

Answer 4

prevents fertilisation: decreases sperm motility + survival (poss due to copper ions)

Question 5

how does IUS work?

Answer 5

levonorgestrel prevents endometrial proliferation + causes cervical mucous thickening

Question 6

how long after insertion are IUD + IUS effective?

Answer 6

IUD - immediate

IUS - 7 days

Question 7

what are the effects of IUD on periods?

Answer 7

longer, heavier, more painful

Question 8

what are the effects of IUS on periods?

Answer 8

initial frequent bleeding + spotting

later - lighter + less painful periods (some become amenorrhoeic)

Question 9

risks of IUD/IUS

Answer 9

increased risk of PID in first 20 days

risk of expulsion is 1 in 20