Contraception Flashcards

1
Q

What’s the earliest copper / mirena coil be inserted post-partum

A

28 days

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2
Q

What’s the earliest depo can be started post-partum

A

21 days

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3
Q

For how long after delivery do you not require contraception

A

21 days

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4
Q

When is the timeframe for insertion of a coil as emergency contraception

A

Within 5 days of UPSI, or up to 5 days after ovulation (d14 of 28 day cycle)

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5
Q

When does a women need a review after copper / mirena coil insertion

A

4 weeks

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6
Q

Unexplained vaginal bleeding is a contra-indication for which kind of contraception

A

IUS / IUD

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7
Q

Current breast cancer is UKMEC 4 for which kind of contraception

A

Depo-provera

Nexplanon

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8
Q

What strains of HPV does Gardasil protect agains

A

6,11,16,18

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9
Q

What is Ulipristal

A

Ella One
Selective progesterone receptor modulator
Max 120 hours after UPSI

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10
Q

How soon after taking Ulipristal can the woman start taking normal hormonal contraception

A

5 days (use condoms for a further 7 days)

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11
Q

Risk of expulsion of IUS / IUD

A

1 in 20 in first 3 months

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12
Q

Risk of uterine perforation with IUS / IUD

A

2 in 1000

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13
Q

Pearl index for withdrawal method

A

22-25

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14
Q

For how long after UPSI is Levonelle licensed for

A

72 hours

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15
Q

What do with COCP before elective operation

A

Stop 4/52 prior

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16
Q

Risk of SSRIs in 1st / 2nd trimester

A

Congenital heart defects

17
Q

Risk of SSRIs in 3rd trimester

A

Persistent pulmonary hypertension

18
Q

Ulipristil limit (time from UPSI)

A

120 hours

19
Q

Levonelle limit (time from UPSI)

A

70 hours

20
Q

When should levonelle dose be doubled

A

Weight >70kg or BMI >26

21
Q

How long until POP effective

A

Condoms for 2 days

22
Q

How long until COCP effective

A

Condoms for 7 days

23
Q

How long until implant / depo / IUS effective

A

Condoms for 7 days

24
Q

What’s a 3rd generation progesterone

A

Desogestrel (Cerazette)

25
Q

Emergency contraception if on enzyme-inducing drugs

A

Double dose levogestrel (3mg)