Contraception

Question 1

Progestogen-only pill (excluding desogestrel) mode of action

Answer 1

Thickens cervical mucus

Question 2

IUD (Intrauterine contraceptive device) mode of action

Answer 2

Decreases sperm motility and survival

Question 3

Intrauterine system (levonorgestrel) mode of action

Answer 3

Prevents endometrial proliferation

Question 4

Intrauterine contraceptive device mode of action (emergency contraception)

Answer 4

Toxic to sperm and ovum

Question 5

Levonorgestrel

Answer 5

Emergency contraception
First line
Must be taken within 72 hours
Dose = 1.5mg (should be doubled in BMI >26 or weight over 70kg)

Question 6

Ulipristal/EllaOne

Answer 6

Emergency contraception
Second line (levonorgesrel is first line)
Must be taken within 120 hours
Dose: 30mg

may reduce the effectiveness of hormonal contraception. Contraception with the pill, patch or ring should be started, or restarted, 5 days after having ulipristal.

caution should be exercised in patients with severe asthma

breastfeeding should be delayed for one week

Question 7

Intrauterine device (IUD)

Answer 7

Emergency contraception
Must be inserted within 5 days
if a women presents after more than 5 days then an IUD may be fitted up to 5 days after the likely ovulation date

prophylactic antibiotics may be given if the patient is considered to be at high-risk of sexually transmitted infection

If the client wishes for the IUD to be removed it should be at least kept in until the next period

Question 8

Contraception that makes period lighter

Answer 8

Intrauterine system/ The Mirena coil

Question 9

Depo Provera/Injectable contraceptives

Answer 9

IM injection every 12 weeks

Side effects:
Decrease bone mineral density
weight gain
irregular bleeding
Causes delay to return of fertility (upto 12 months).
Cannot be reversed.