Contraception

Question 1

What is LARC

Answer 1

Long acting reversible contraception

methods that require administration less than once per cycle/month

Question 2

what are the categories for the UK MEC guidelines

Answer 2

1 = fine 
2 = benefits > risks
3 = risks > benefits 
4 = AVOID

Question 3

what are non-contraceptive indications for LARC/contraception treatment

Answer 3

acne 
hirsutism 
menorrhagia
dysmenorrhoea 
endometriosis 
ovarian cysts 
PMS
anovulatory cycles

Question 4

examples of LARC

Answer 4

Copper IUD
mirena coil IUS (progestogen only)
depo provera injections (progestogen only)
nexplanon implant (progestogen only)

Question 5

when does the copper IUD become effective

Answer 5

immediately

Question 6

which hormones are involved in copper IUD

Answer 6

none

Question 7

How does the progestogen only Mirena coil IUS work

Answer 7

thins endometrium and thickens cervical mucus to prevent implantation

Question 8

when does the mirena IUS become effective

Answer 8

7 days

Question 9

where is the nexplanon implant inserted

Answer 9

SC implant over triceps

Question 10

LARC protects against STIs, true or false

Answer 10

FALSE

Question 11

what is combined hormonal contraception

Answer 11

contains oestrogen and progestogen

Question 12

examples of combined hormonal contraception

Answer 12

pill
patch
vaginal ring

Question 13

when does the OCP become effective

Answer 13

immediately if taken within 1st 5 days of bleeding

if taken any time in the cycle, works after 7 days

Question 14

what can decrease effectiveness of the OCP

Answer 14

IBD
anti-epileptic drugs that are enzyme inducers
non-compliance

Question 15

what are some side effects/risks of CHC

Answer 15

VTE, PE
arterial disease: stroke, MI 
raised blood pressure 
breast cancer 
cervical cancer

Question 16

what are absolute contraindications to CHC

Answer 16

migraine WITH aura

breast cancer

Question 17

give examples of progestogen only contraceptives

Answer 17

pill
implant
injections
IUS

Question 18

Progestogen only pills have the same risks as CHC pills, true or false

Answer 18

false

no risk of stroke, high blood pressure

Question 19

how do you take the POP

Answer 19

1 pill taken every single day with no break

Question 20

how often do you administer the depo provera injections

Answer 20

every 3 months

Question 21

what are condoms good for

Answer 21

preventing STIs

Question 22

what should be added to a diaphragm before use

and what are the timings (6, 3?)

Answer 22

spermicide
needs to left in 6 hours post sex
if no sex in 3 hours, needs to be reapplied

Question 23

what are the sterilisation procedures available for men and women

Answer 23

men - vasectomy

women - tubal ligation

Question 24

examples of emergency contraceptives

Answer 24

copper IUD
ulipristal (ellaOne)
levonogesterel

Question 25

when can levonogesterel be used

Answer 25

up to 72 hours post UPSI

Question 26

when can ulipristal be used

Answer 26

up to 120 hours post UPSI

Question 27

ulipristal/levonogesterel is less effective if woman is already taking contraception

Answer 27

ulipristal is less effective