Contraception

Question 1

Intrauterine contraceptive system - mirena

Answer 1

IUD+progesterone
good for menorrhagia
causes endometrial atrophy

takes 7 days to work

Question 2

intrauterine contraceptive device - copper coil

Answer 2

toxic to sperm - local inflammatory reaction
ectopic risk

works instantly
used as emergency contraception

Question 3

depo-provera (injection)

Answer 3

lasts 3 months - but fertility can affected for 12
inhibits ovulation
increases appetite - weight gain

Question 4

emergency contraception

Answer 4

levonogestrel - 72 hours

ulipristal acetate - 120 hours

Question 5

combined oral contraceptive pill

Answer 5

ostrogen and progesterone pill
prevents ovulation, thins womb lining
21 days on 7 off usually

may not work if D/V
risk of DVT
12 hour window to take missed dose

Question 6

progesterone only pill

Answer 6

thickens cervical mucus
thins endometrium
reduced tubal motility
need to take at the same time each day

works after 2 days