contraception - by patient

Question 1

UKMEC COCP for BMI

Answer 1

BMI 30-34 = UKMEC 2 // BMI 35+ = UKMEC 3

Question 2

which contraception is NOT effective in patients who have had gastric sleeve, bypass, or duodenal switch

Answer 2

oral contraception

Question 3

testosterone therapy effect on fertility and pregnancy (eg transgender male)

Answer 3

offers no contraception // must be stopped in pregnancy as teratogenic

Question 4

which contraception is contraindicated with testosterone therapy (eg transgender man)

Answer 4

oestrogen therapy

Question 5

in patients taking oestrogen GnRH, finasteride or acetate (eg transgender women) what affect does this have on fertility

Answer 5

may reduce sperm production // not reliable contraception // use condoms

Question 6

which contraceptives can protect bone density in 40+ women

Answer 6

COCP (+ reduced menopausal symptoms)

Question 7

which hormonal contraceptions should be stopped at 50

Answer 7

COCP and depo

Question 8

which hormonal contraceptions can be continued past 50

Answer 8

implant, POP, IUS

Question 9

when can menopausal women on contraception stop using it

Answer 9

if <50 2 years after last period // if 50+ 1 year after last period

Question 10

can POP and IUS provide progesterone part of HRT

Answer 10

POP cannot provide progesterone part // IUS CAN

Question 11

contraception for migraines

Answer 11

NOT COCP

Question 12

UKMEC 1 + 2 for most antiepiletic drugs (not lamotrigene)

Answer 12

1 = depo, IUD, IUS // 2 = implant

Question 13

UKMEC 3 for most antiepiletic drugs (not lamotrigene)

Answer 13

UKMEC 3 = COCP + POP

Question 14

lamotrigine UKMEC 1 options

Answer 14

depo, IUD, IUD + progesterone eg POP, implant

Question 15

lamotrigine UKMEC 3

Answer 15

COCP

Question 16

when is contraception required after giving birth

Answer 16

day 21

Question 17

when is POP + implant safe to start after birth

Answer 17

start anytime postpartum (if after 21 days use contraception for 48 hours)

Question 18

POP + breastfeeding

Answer 18

safe

Question 19

when can COCP be started postpartum

Answer 19

only AFTER 21 days (and use condoms for 7 days)

Question 20

COCP + breastfeeding

Answer 20

UKMEC 4 if breastfeeding <6 weeks post partum // UKMEC 2 if breastfeeding 6weeks - 6 months // may reduce milk production

Question 21

when can IUS be insterted post-partum

Answer 21

within 48 hours OR after 4 weeks

Question 22

at what age can a child consent for contraception

Answer 22

over 16 // maybe 13-15 // not under 13

Question 23

what guidelines and competency assess a childs consent for contraception

Answer 23

fraser guidelines // gillick competent

Question 24

LARC of choice in young people

Answer 24

implant