Contraception and EHC Flashcards
Which contraceptives are classed as “highly effective”
3 points
- Copper IUD
- Levonorgestreel IUS
- Progestogen only implant
Combined hormonal contraceptives are not recommended in women aged _____ and over
50 years and over
Safer alternatives exist
What is the most commonly used oestrogen in CHC?
Ethinylestradiol
Usually 30 mcg or less
How long before surgery should CHC be discontinued
At least 4 weeks before surgery
True or false:
Medroxyprogesterone (Depo-provera) does not cause a delay to full fertility
FALSE
Which long acting progestogen contraceptives allow a rapid return to fertility on discontinuation? (2 points)
1) Etonorgestrel implant (Nexplanon)
2) LNG-IUS (e.g Mirena coil)
Which EHC is deemed to be the most effective
The copper IUD
How long after unprotected sex can the following be used:
- Copper IUD
- Levonorgestrel (Levonelle)
- Ulipristal (ellaOne)
- 5 days
- 72 hours (3 days)
- 5 days
Missed pill guidance:
When is a progestogen only pill considered “missed”
After 3 hours for most POPs
After 12 hours for desogestrel
MUST TAKE AT SAME TIME EACH DAY!
True or false:
If two or more CHC pills are missed, extra contraceptive precautions are not needed
FALSE
Extra contraceptive precautions should be taken for 7 days
Missed pill guidance:
When is CHC pill considered “missed”
After 24 hours
True or false:
2 contraceptive pills should never be taken on the same day
FALSE
If a pill is missed, it should be taken as soon as remembered and the next pill taken at the correct time, even if this means taking two pills in one day
A double of _____ may be needed for EHC if the patient takes enzyme inducing drugs or is overweight
Levonorgestrel (Levonelle)
Which form of EHC is not licensed for under 16s
Levonorgestrel
How long should contraception and avoiding pregnancy be continued after discontinuing a statin?
1 month
