Contraception

Question 1

What is the Fraser Criteria

Answer 1

Guidelines that can be used specifically to decide if a girl under 16 can consent to contraceptive or sexual health advice and treatment

Question 2

What are the specific Fraser Criteria

Answer 2

Understands the GP’s advice
Cannot be persuaded to inform their parents that contraceptive advice has been sought.
Likely to begin or to continue having intercourse with or without contraceptive treatment
Unless he or she receives contraceptive advice or treatment, the young person’s physical or mental health (or both) are likely to suffer.
Best interest requires the practitioner to give contraceptive advice or treatment (or both) without parental consent.

Question 3

what is the emergency contraceptive

Answer 3

levonorgestrel 1500mg

Question 4

What is the main mechanism of action of the morning after pill, levonogestrel

Answer 4

Delay of ovulation

Thickening cervical mucous making it more difficult for sperm to get through

Question 5

Other emergency contraceptives

Answer 5

Copper coil IUD

EllaOne (Ulipristal acetate 30mg) - binds with high affinity to progesterone receptors, and delays ovulation