Contraception

Question 1

what are combined hormonal therapy

Answer 1

pill
patch
vaginal ring

Question 2

what are progesterone only

Answer 2

pill
injectable
implants

Question 3

what other methods are there

Answer 3

intrauterine
emergency
sterilisation

Question 4

what is the ideal contraceptive

Answer 4

reversible, effective and free of side effects

Question 5

what is the pearl index

Answer 5

number of contraceptive failures per 100 women

Question 6

what is method failure

Answer 6

pregnancy despite correct use of method by user

Question 7

what is user failure

Answer 7

pregnancy because method is not used correctly by user

Question 8

what does LARC stand for

Answer 8

long acting reversible contraception

Question 9

when are you likely to get pregnant during you cycle

Answer 9

ovulation around 12-18 day

highest chance around 8-19th day

Question 10

what is combined hormonal contraception

Answer 10

combination of ethinyl estradiol and synthetic progesterone

Question 11

what effect does combined have

Answer 11

stops ovulation

affects cervical mucus and endometrium

Question 12

what is the standard regiem

Answer 12

21 days with a hormone free week

tailored regime means no period

Question 13

when is the combined pill taken

Answer 13

same time daily anytime in 24 hours

Question 14

when is the patched changed

Answer 14

weekly

Question 15

when is the ring changed

Answer 15

every 3 weeks

can take out for 3 hours so many take out for sex

Question 16

what are benefits of combined method

Answer 16

can help regulate periods 
stop ovulation
can help acne 
reduces colon cancer
reduces osteoporosis risk

Question 17

what re side effects of combined method

Answer 17

breast tenderness
headache
nausea
weight gain
risk of DVT
risk of breast cancer
risk of cervical cancer

Question 18

what is the progesterone only pill

Answer 18

the mini-pill

taken at same time each day without a break

Question 19

what are side effects of progesterone only

Answer 19

appetite increase
mood change
hair loss
acne 
no risk of DVT

Question 20

what is injectable progesteroen

Answer 20

aqueous solution of progesterone
depoprovera
150mg IM injection every 13 weeks

Question 21

what are the effects of the injection

Answer 21

prevents ovulation
alters cervical mucus
makes endometrium unsuitable for implanation

Question 22

what are side effects of the jag

Answer 22

delay in return to fertility
reduction in bone density
weight game

Question 23

what is the subnormal progesterone implant

Answer 23

inhibits ovulation

can las tup to 3 years

Question 24

what are the cons of the implant

Answer 24

may cause mood change

unpredictable bleeding pattern

Question 25

what is the intrauterine contraception - the coil

Answer 25

5-10 years use
In the uterus
Cooper- hormone free but makes period heavier and crampier, toxic to sperm

Question 26

what emergency contraception is available

Answer 26

Copper IUD within 120 hour
levonorgestrel within 72 hours
ullipristal within 120 hours

Question 27

when should you start contracpetion

Answer 27

within first 5 days of cycle

Question 28

what is the used method of female sterilisation

Answer 28

laparoscopic sterilisation clips applied across the tube to block lumen tube
irreversible

Question 29

what is a vasectomy

Answer 29

vas deferens are cut tied or sealed off to prevent sperm from getting out
takes 4-5 months

Question 30

what is the statistics for abortion

Answer 30

1 in 3
1 in 6 pregnancies end in abrotion
mostly 20-24
linked to deprivation

Question 31

do staff have a right to refuse participation

Answer 31

yes

Question 32

what is involved in the abortion consultation

Answer 32

medical history 
circumstances-no abuse
discuss methods
contraception after 
support groups 
STI testing

Question 33

what is surgically done to stop a pregnancy between 5-12 weeks

Answer 33

cervical priming

GA or LA cervixa block

Question 34

what is medically done for abortion

Answer 34

mifepristone and then misorpostol initiates contraction
4-6 hours
risk of infection

Question 35

when is a home abrotion offered

Answer 35

to a women pregnancy for under 10 weeks able to give misorpostol