Contraception

Question 1

When fertile, how much does body temp increase by?

Answer 1

> 0.2 degrees

Question 2

Post ovulation, what is cervical mucous like?

Answer 2

Thick and sticky

Question 3

Barrier methods of contraception?

Answer 3

Condoms
Femidom
Diaphragm
Spermicide

Question 4

What 3 criteria are needed for lactational amenorrhea method of contraception?

Answer 4

Exclusively breast feeding
Less than 6 months post natal
Amenorrhoeic

Question 5

What is IUD?

Answer 5

Intrauterine device

Question 6

What is an intrauterine device and how does it work?

Answer 6

Copper coil

Copper changes the competitions in uterus in inhibit fertilisation, implantation and sperm penetration of the uterus

Question 7

Affect of IUD on bleeding?

Answer 7

Can cause menorrhagia and dysmenorrhea

Question 8

Contraindication against IUD?

Answer 8

Pelvic infection

Question 9

What is IUS?

Answer 9

Intrauterine system

Question 10

Types of IUS?

Answer 10

Mirena

Jaydess

Question 11

Difference between marina and Jaydess?

Answer 11

Mirena has higher dose of progestogen and lasts five years instead of three

Question 12

What hormone does IUS release?

Answer 12

Progestogen

Question 13

Affect of IUS on periods?

Answer 13

Makes them lighter and less painful

Question 14

Contraindication of IUS?

Answer 14

Pelvic infection

Question 15

How does the implant work?

Answer 15

Inhibits ovulation

Thickens cervical mucous

Question 16

Where does the implant go?

Answer 16

Subdermally in the upper arm

Question 17

How long does the implant last for?

Answer 17

3 years

Question 18

How does the depo injection work?

Answer 18

Inhibits ovulation

Thickens cervical mucous

Question 19

Weight gain with implant?

Answer 19

About 2 kg

Question 20

Affect on ovulation after stopping injection?

Answer 20

May be a delay in ovulation - about 10months

Question 21

How often do you get the depo injection?

Answer 21

12 / 8 weeks depending on which one

Question 22

How do you take the progestogen only pill (POP)?

Answer 22

Taken same time every day, no break between packs

Question 23

Hormone released by POP?

Answer 23

Progestogen

Question 24

What available time window is there when taking POP?

Answer 24

12 hours for new

3 hours for old

Question 25

How hormone does vaginal ring release?

Answer 25

Flexible ring releasing oestrogen and progestogen

Question 26

How does vaginal ring work?

Answer 26

Inhibits ovulation and get withdrawal bleed

Question 27

How do you use the vaginal ring?

Answer 27

Inset on day 1 and leave for 3 weeks. | Remove on day 22 for a 7 day interval

Question 28

What is the contraceptive patch?

Answer 28

Transdermal patch releasing oestrogen and progestogen

Question 29

What may affect the efficacy of the contraceptive patch?

Answer 29

If > 90kg

Question 30

How does patch work?

Answer 30

Inhibits ovulation

Question 31

How do you use the contraceptive patch?

Answer 31

Apply patch on day 1, change on days 8 and 15 and remove on day 22 for a 7 day break

Question 32

What does the combined oral contraceptive pill contain?

Answer 32

Oestrogen and progestogen which inhibit ovulation and then get a withdrawal bleed

Question 33

When is COC contraindicated?

Answer 33

Migraine with aura

Question 34

How do you take the COC?

Answer 34

Take for 21 days and then take a 7 day break

Question 35

Benefits of CHC?

Answer 35

Decreased menorrhagia/ dysmenorrhea Decreased risk of ovarian, endometrial and bowel cancer Decreased menopausal symptoms

Question 36

What do you do if you miss the pill?

Answer 36

If less than 24 hours, take the pill now and the next one at the usual time If miss 2 pills of the first 7 days, use emergency contraception of unprotected sex since end of last pack

Question 37

Short term oestrogenic side effects of of CHC?

Answer 37

``` Breast tenderness Nausea Cyclical weight gain Bloating Vaginal discharge ```

Question 38

Progestogenic side effects of CHC?

Answer 38

``` Mood swings PMT Vaginal dryness Sustained weight gain Acne Decreased libido ```

Question 39

Risks with use of CHC?

Answer 39

Venous disease Arterial disease Breast and cervical cancer - but this decreases after 10 years of stopping

Question 40

Problem with sterilization?

Answer 40

Permanent and irreversible

Question 41

What happens if pregnancy with female sterilisation?

Answer 41

Increased risk of ectopic

Question 42

Complications and risks of vasectomy?

Answer 42

Bruising and haematoma | Chronic testicular pain

Question 43

What does a Vasectomy do?

Answer 43

Vas deferens are ligature and excised or men cauterised

Question 44

How is female sterilisation carried out?

Answer 44

Filshie clip occlusion with anaesthetic