Fertility awareness methods

Question 1

Basal body temperature method of fertility control

Answer 1

Ovulation:
0.2 degrees higher than bbt (checked for 6 days)
for 3 consecutive days

Coitus safe after 3 days

Question 2

Calendar/Rhythm method for fertility control

Answer 2

Record 6 cycles
Shortest num of days(in a cycle)-21 to longest num of days-10 is the fertility period

Question 3

Billings ovulation methods

Answer 3

Infertile period begins 4th day after last day of slippery sensation (peak day of fertility, due to oestrogen) at the vulva.

Mucous breakdown/non slippery sensation is due to increase in progesterone

Question 4

Lactational Amenorrhoea method (LAM)

Answer 4

Infertile period for 6 months if
1. Exclusive breast feeding
2. Feeding with out a break > 4 hrs in the morning and 6 hrs at night
3. Amenorrhoea

not reliable

Question 5

Medical methods for abortion

Answer 5

Mifepristone
.
36-48hrs
.
Misoprostol
cramping starts in 3-6 hrs
Can be done until 9 wks

Question 6

Surgical abortions can be done from how many weeks

Answer 6

6-7 wks

Question 7

Tablets and dose for emergency contraception (4)

Answer 7

1. Ulipristal acetate 30mg
   (single dose within 5 days)
2. Copper IUD within 5 days

3.Levonorgestrel 1.5 mg
(single dose within 4 days)

4. Levonorgestrel 30mcgx25 tabs, repeat after 12hrs

Question 8

Tablets and dose for delaying periods

Answer 8

Norethistrone 5mg bd/tid for 3 days prior to expected period.
Period resumes after 2-3 days of stopping tablets

Question 9

Menopause is no menstruation for how many months?

Answer 9

> 50yrs - 1yr amenorrhoea
<50yrs - 2yrs amenorrhoea

Question 10

What kind of contraception recommended in >50yrs

Answer 10

1. POP
2. Non-hormonal

C/I:
1. Oestrogen containing contraception
2. DMPA