Contraception Flashcards
What’s the earliest copper / mirena coil be inserted post-partum
28 days
What’s the earliest depo can be started post-partum
21 days
For how long after delivery do you not require contraception
21 days
When is the timeframe for insertion of a coil as emergency contraception
Within 5 days of UPSI, or up to 5 days after ovulation (d14 of 28 day cycle)
When does a women need a review after copper / mirena coil insertion
4 weeks
Unexplained vaginal bleeding is a contra-indication for which kind of contraception
IUS / IUD
Current breast cancer is UKMEC 4 for which kind of contraception
Depo-provera
Nexplanon
What strains of HPV does Gardasil protect agains
6,11,16,18
What is Ulipristal
Ella One
Selective progesterone receptor modulator
Max 120 hours after UPSI
How soon after taking Ulipristal can the woman start taking normal hormonal contraception
5 days (use condoms for a further 7 days)
Risk of expulsion of IUS / IUD
1 in 20 in first 3 months
Risk of uterine perforation with IUS / IUD
2 in 1000
Pearl index for withdrawal method
22-25
For how long after UPSI is Levonelle licensed for
72 hours
What do with COCP before elective operation
Stop 4/52 prior
Risk of SSRIs in 1st / 2nd trimester
Congenital heart defects
Risk of SSRIs in 3rd trimester
Persistent pulmonary hypertension
Ulipristil limit (time from UPSI)
120 hours
Levonelle limit (time from UPSI)
70 hours
When should levonelle dose be doubled
Weight >70kg or BMI >26
How long until POP effective
Condoms for 2 days
How long until COCP effective
Condoms for 7 days
How long until implant / depo / IUS effective
Condoms for 7 days
What’s a 3rd generation progesterone
Desogestrel (Cerazette)
Emergency contraception if on enzyme-inducing drugs
Double dose levogestrel (3mg)