contraception

Question 1

what is the mechanism of action for the normal IUD

Answer 1

prevents implantation

Question 2

what is the mechanism of action for the majority of LARC’s (not coils)

Answer 2

prevent ovulation

Question 3

pearl index for the copper IUD and hormonal IUD respectively

Answer 3

copper - 0.8
hormonal - 0.2

Question 4

how does the copper IUD prevent pregnancy

Answer 4

prevents fertilisation mainly and also implantation

Question 5

how long does each type of coil last

Answer 5

Copper IUD - 10
ius- 3-5

Question 6

what is the advice with copper IUD if inserted after 40

Answer 6

can stay till menopause

Question 7

what uterine condition would make the coil unsuitable

Answer 7

fibroids or malformation

Question 8

what is the pearl index of the implant and how long can it stay in for

Answer 8

0.05% and for 3 years

Question 9

what hormone used in implant

Answer 9

progesterone only

Question 10

main side effect of implant

Answer 10

prolonged PV bleeding

Question 11

1st line treatment of endometriosis

Answer 11

ius

Question 12

how does the pill prevent pregnancy

Answer 12

stops ovulation

Question 13

pearl index of pill and typical use

Answer 13

0.3 perfect typical 9%

Question 14

what must be checked before starting the COCP

Answer 14

BMI, BP (check smears)

Question 15

use of cocp increases risk for what cancers

Answer 15

breast and cervical

Question 16

what cancers does cocp reduce chance of

Answer 16

endometrial and ovarian

Question 17

how much does cocp reduce chance of ovarian cancer by

Answer 17

20% reduction every 5 years used. max 50% in 15 years

Question 18

what cocp is used in acne

Answer 18

cyproterone acetate - dianette

Question 19

examples of POP’s

Answer 19

cerelle and cerezette

Question 20

how long do you need to use condoms for when initiating the POP

Answer 20

2 days

Question 21

what is the most appropriate form of LARC after breast cancer

Answer 21

copper IUD

Question 22

what does the depo injection do to your hormones

Answer 22

lowers estradiol and suppresses FSH

Question 23

side effects of injection

Answer 23

nausea, weight gain, spots headache

Question 24

when should depo not be used

Answer 24

if osteoporosis risk factor. caution in teens and after menopause

Question 25

what is the most effective form of emergency contraception

Answer 25

copper IUD

Question 26

how long after sex must the copper IUD be inserted after sex to work

Answer 26

within 5 days

Question 27

examples of emergency contraception

Answer 27

ullipristol acetate - Ella one
copper IUD
levonelle

Question 28

how long after unprotected sex can Ellaone be used

Answer 28

within 5 days

Question 29

how does Ella one work

Answer 29

stops LH surge so delays ovulation

Question 30

what type of contraception cannot be used straight after Ella one

Answer 30

progesterone eg pill

Question 31

how does levonelle work

Answer 31

big dose of progesterone - aim to inhibitors ovulation

Question 32

what scenarios will Ella one and levonelle not work particularly well

Answer 32

in 2nd half of cycle or if on enzyme inducing drugs

Question 33

what is prothrombotic oestrogen or progesterone

Answer 33

oestrogen

Question 34

how long before major surgery shoudl the pill be stopped

Answer 34

4 weeks

Question 35

how long after levonorgestrel emergency contraception can you restart gormonal contraceptions

Answer 35

immedicately

Question 36

how long after ullipristol acetate can you restart hormonal contraception

Answer 36

5 days

Question 37

how long post partum can a copper IUD be inserted

Answer 37

4 weeks