Contraception

Question 1

What is an Abortifacient?

Answer 1

Something that displaces the fertilised egg eg; causes an abortion

eg; RU486 or Mifepristone

Question 2

Marjory has come back to see you today. She has had her first baby 3 months. Will the fact that she is still breast feeding offer any contraceptive protection?

There are 3 important questions to ask Marjory before you can answer this question

Answer 2

1. Has her menses returned?
2. Has she also been supplementing/ taking longer breaks over the night without feeding
3. Is her baby >6 months

Question 3

At what point of the menstrual cycle can the IUD be inserted

Answer 3

at any point of the cycle, immediately postpartum (<48hrs) or after 4 weeks post partum

Question 4

How long before IUS is effective?

Answer 4

7days

Question 5

Wht are COCP not reccommended in breastfeeding women?

Answer 5

Because they can reduce the milk volume produced

Question 6

In a women with a low BMi and infertility, what can we measure on day 21 to confirm ovulation and why do we do so?

Answer 6

Progesterone can be tested on day 21 of the menstrual cycle. Following ovulation LH and FSH grow the dominant follicle into the corpus luteum, which releases a surge of progesterone usually peaking on day 21

Question 7

The Combined oral contraceptive pill gives you

increased risk of___________

protective against_____________

Answer 7

Combined oral contraceptive pill

increased risk of breast and cervical cancer

protective against ovarian and endometrial cancer

Question 8

How early post partum could emergency contraception be required?

Answer 8

It is thought ovulation cannot occur prior to 28 days post partum

Question 9

when should oestrogen containing contraception be stopped prior to major surgery or surgery that involves immobilisation of the lower limbs?

Answer 9

4 weeks prior, and a progesterone only contraception should be offered as an alternative