Contraception

Question 1

Action of COCP

Answer 1

Thickens mucous, stops ovulation

Question 2

Pros of COCP

Answer 2

lighter bleeding, reduces acne

reduces risk of ovarian, colon and uterine ca

Question 3

Cons of COCP

Answer 3

Nausea, breast tenderness, spotting

Question 4

Fertility of COCP

Answer 4

Returns when stopped

Question 5

CI of COCP

Answer 5

Migraine, HTN, DVT, Breast Ca, Age/BMI > 35

Question 6

Ca risk of COCP

Answer 6

Breast, Cervical

Question 7

How to take COCP and missed pill rule

Answer 7

Taken for 3 weeks, and then withdrawal bleed for 1 week
If missed 1 pill, take 2 next day
if missed 2 pills, take 2 soon as you remember, condoms for 7 days

Question 8

Action of POP

Answer 8

Thickens mucous, stops ovulation, thins endometrium

Question 9

Pros of POP

Answer 9

Can breast feed, lighter periods

Question 10

Cons of POP

Answer 10

Needs to be taken at the same time every day, otherwise is less effective
Breast tenderness, acne, mood changes, disrupted bleeds

Question 11

Fertility of POP

Answer 11

Returns when stopped

Question 12

Ca risk of POP

Answer 12

Breast

Question 13

CI of POP

Answer 13

Undiagnosed PVB, forgetfulness, stroke, liver cirrhosis

Question 14

Missed pill rule for POP

Answer 14

If missed 1 pill, take when remembered + today’s pill

Question 15

Action of the Mirena Coil (IUS)

Answer 15

Thickens mucous, stops ovulation, thins endometrium

Question 16

Pros of Mirena

Answer 16

Immediate protection, lighter periods, can breast feed

Question 17

How long does Mirena last

Answer 17

5 years

Question 18

Cons of Mirena

Answer 18

Altered bleeds, cramps, discharge, breast tenderness, acne, ectopics

Question 19

Fertility of Mirena

Answer 19

Returns within 4-6 months

Question 20

Ca risk of Mirena

Answer 20

None

Question 21

CI of Mirena

Answer 21

Preg, undiagnosed PVB, cervical ca

Question 22

Action of Copper coil (IUD)

Answer 22

Spermicide, IU inflammation (non-hormonal)

Question 23

Pros of Copper coil

Answer 23

can breast feed, non-hormonal, longest effect

Question 24

Cons of Copper coil

Answer 24

Heavy periods, ectopic preg

Question 25

Fertility of Copper coil

Answer 25

Returns when removed

Question 26

Ca risk of copper coil

Answer 26

none

Question 27

CI of copper coil

Answer 27

pregnancy, undiagnosed PVB, cervical ca, copper allergy

Question 28

How long does copper coil last

Answer 28

5-10 years

Question 29

Action of IM (Depoprovera)

Answer 29

thickens mucous, thins endometrium, stops ovulation

Question 30

Pros of IM

Answer 30

No pills, can breastfeed, longer effect

Question 31

How long does IM last

Answer 31

3 months

Question 32

Cons of IM

Answer 32

Altered bleeding, weight gain, reduced bone density

Question 33

Fertility of IM

Answer 33

Delayed for 18 months

Question 34

Ca risk of IM

Answer 34

None

Question 35

CI of IM

Answer 35

Pregnancy, undiagnosed PVB

Question 36

Action of Implant

Answer 36

thickens mucous, thins endometrium, stops ovulation

Question 37

Pros of Implant

Answer 37

No pills, longer effect

Question 38

Cons of implant

Answer 38

headaches, weight gain, breast tenderness, mood swings

Question 39

Fertility of Implant

Answer 39

Returns when removed

Question 40

How long does Implant last

Answer 40

3 years

Question 41

Ca risk of implant

Answer 41

none

Question 42

CI of implant

Answer 42

HTN, DVT, breast ca, age/bmi > 35, migraine with aura

Question 43

Hormones in each method

Answer 43

COCP - oe and p, POP - Prog, Mirena - prog, copper - none, IM - prog, Implant - oe

Question 44

Strings

Answer 44

Mirena and copper coil checked every month

Question 45

Implant additional info

Answer 45

LA, incision, applicator

Question 46

Levonorgestrel

Answer 46

Within 72 hours of last sexual intercourse More effective quicker you take it preg test before pill next period may not be regular

Question 47

Copper coil - emergency contraception

Answer 47

up to 5 days, more effective, lasts for 5-10 years