Contraception

Question 1

What are the 3 emergency contraceptions?

Answer 1

IUD (copper coil)
levonestrogel
ella one

Question 2

What are some risks of the IUD?

Answer 2

ectopic pregnancies 
expulsion 
dysmennorhoea 
menorrhagia 
cervical shock 
PID

Question 3

How can you reduce the risk of PID in IUDs?

Answer 3

screen for STIs

if using as emergency contraception - give azithromycin just in case

Question 4

How does the IUD work?

Answer 4

inhibits ovulation

Question 5

What can IUDs do to your period?

Answer 5

heavier

more painful

Question 6

How long does the IUD work?

Answer 6

5-10 years

Question 7

When is the IUD effective post insertion?

Answer 7

immediately

Question 8

When can the IUD be used as emergency contraception?

Answer 8

5 days post UPSI

>5 days if <5 days post ovulation

Question 9

What are the names of the 2 IUSs? How long do they last?

Answer 9

Mirena - 5 years

Jaydess - 3 years

Question 10

What can IUSs do to your period?

Answer 10

lighter

less painful

Question 11

What hormone is the IUS?

Answer 11

progesterone

Question 12

What side effects can you get in progesterone contraception?

Answer 12

acne 
weight gain, bloating
bleeding 
hirsutism 
tender breasts 
decreased sex drive 
mood swings

Question 13

When should the IUS be inserted?

Answer 13

day 1-5 of cycle

Question 14

How long should condoms be used for if the IUS isn’t inserted on days 1-5 of cycle?

Answer 14

7 days

Question 15

How long does the depo injection last? How often is it given?

Answer 15

lasts 14 weeks

given 12 weekly

Question 16

When shouldn’t you give the depo injection?

Answer 16

> 50 years - osteoporosis risk

30+, haven’t completed family

Question 17

What is the main side effect of depo injection?

Answer 17

weight gain

Question 18

What hormone is the depo injection?

Answer 18

progesterone

Question 19

What hormone is the implant?

Answer 19

progesterone

Question 20

What is the most common side effect of the implant?

Answer 20

irregular bleeding

Question 21

How long does the implant last?

Answer 21

3 years

Question 22

When, ideally, should the implant be inserted?

Answer 22

Day 1-5 (if not, use condoms for 7 days)

Question 23

What happens if you miss a pill - progesterone only?

Answer 23

take asap
only protected for 3 hours after you usually take the pill
use condoms for 48 hours

Question 24

What happens if the POP isn’t started on days 1-5 of cycle?

Answer 24

use condoms for 2 days

Question 25

What are some contraindications for the POP?

Answer 25

breast cancer 
liver disease
trophoblastic disease e.g. previous molar pregnancies 
SLE 
coeliac/malabsoprtion

Question 26

When should you stop the POP?

Answer 26

if they develop new migraine with aura

Question 27

What cancers is the COCP protective against?

Answer 27

ovarian
endometrial
colorectal

Question 28

What cancers does the COCP increase risk of?

Answer 28

breast

cervical

Question 29

What are the contraindications for the COCP?

Answer 29

>35 years and 15 cigs a day 
VTE
history of CVD 
migraine with aura 
uncontrolled hypertension 
breastfeeding and <6weeks post partum

Question 30

What do you do if taking the COCP and are going to get surgery?

Answer 30

stop taking 4 weeks before surgery

can start again 2 weeks post surgery

Question 31

What are some side effects of the COCP?

Answer 31

headache 
N and V
high blood pressure 
weight gain 
bloating 
fibroids
decreased sex drive 
tender breasts