Contraception

Question 1

Combined Hormonal Contraception

Answer 1

Pill
Patch
Ring

Question 2

Other use of cyproterone acetate

Answer 2

Acne and hirsutism

Question 3

Mode of action of combined hormonal contraception

Answer 3

Inhibits ovulation

Also thickens cervical mucus, thins endometrial lining

Question 4

Starting OCP or POP - two ways

Answer 4

Start in first 5 days of period

Any time in cycle with barrier methods for 7 days

Question 5

Taking OCP

Answer 5

21 days then 7 day break

Can take back to back packs

Question 6

Contraindications to OCP

Answer 6

Migraine with aura 
<6 weeks post-natal and breast feeding 
<4 weeks post natal and risk of VTE 
Smoker >35  
BRCA mutation 
Liver disease 
Breast cancer

Question 7

What is desogestel

Answer 7

Progesterone only pill

Question 8

Mode of action of POP (except desogestel)

Answer 8

Thickens cervical mucus

Question 9

Mode of action of desogestel

Answer 9

Inhibits ovulation

Question 10

Types of implant

Answer 10

Nexaplanon

Question 11

Mode of action of implant

Answer 11

Inhibits ovulation

Also thickens cervical mucus

Question 12

Treatment of nexaplanon-induced irregular/heavy bleeding

Answer 12

OCP

Question 13

Progesterone contraceptives

Answer 13

POP
Implant
Depo Injection

Question 14

Mode of action of depo injection

Answer 14

Inhibits ovulation

Question 15

Delivery of depo

How long last for?

Answer 15

Every 13 weeks

Lasts 14 weeks

Question 16

Duration of nexaplanon

Answer 16

Up to 3 years

Question 17

Which contraception can you use any time after birth?

Answer 17

Implant
Depo injection
Progesterone only pill
Barrier methods

Question 18

Which contraception can you use within 48 hours of birth?

Answer 18

IUD or IUS

Question 19

Insertion of IUD or IUS after birth

Answer 19

Within 48 hours or after 4 weeks

Question 20

Who to avoid depo in?

Answer 20

Those over 45

Question 21

Examples of IUS

Answer 21

Mirena
Kyleena
Jaydess

Question 22

Mode of action of IUS

Answer 22

Effect on implantation

Question 23

Insertion of IUS

Answer 23

Can be inserted at anytime in cycle if no unprotected sex in past 3 weeks since LMP

Question 24

Mode of action of Cu-IUD

Answer 24

Prevent fertilisation

Question 25

Emergeny contraception options

Answer 25

Levonelle
Ellaone
Copper-IUD

Question 26

When can use levonelle

Answer 26

Within 72 hours of unprotected sex

Question 27

Mode of action of levonelle and ellaone

Answer 27

Delays ovulation

= high dose progesterone

Question 28

When can use ellaone

Answer 28

Within 5 days of unprotected sex

Question 29

Conditions to ellaone use

Answer 29

Must wait 5 days before beginning hormonal contraception

Cannot use if have used hormonal contraception in the past 7 days

Question 30

When can use copper-IUD

Answer 30

Within 3 days of unprotected sex

Effective as contraceptive immediately

Question 31

Not breast-feeding

What contraception can started at 3 weeks?

Answer 31

Combined pill, ring or patch

Question 32

What contraception can be started at 6 weeks?

Doesn’t matter whether breast feeding or not

Answer 32

Combined pill
Ring
Patch
Diaphragm `

Question 33

Contraindications for progesterone only pill and implant

Answer 33

Discontinue in CV disease or stroke

Breast cancer

Question 34

Contraindication for IUS

Answer 34

48 hour-4 weeks pp
Post-partum sepsis
Post-abortion sepsis
Don’t start in long QT

Question 35

What is clomifene citrate used for?

Answer 35

PCOS

Egg retrieval

Question 36

Mode of action of clomifene citrate

Answer 36

Induces ovulation via release of GnRH