Fertility Control - Contraception

Question 1

What is the UKMEC?

Answer 1

FSRH (Faculty of Sexual and Reproductive Health) created UK Medical Eligibility Criteria - 4 levels of risk.
1 : No Restriction in Use.
2 : Benefits > Risks.
3. Risks > Benefits.
4. Unacceptable Risk = Contraindication.

Question 2

Which method is 100% effective?

Answer 2

Complete abstinence.

Question 3

What does 99% effective mean?

Answer 3

If an average person used this method of contraception correctly, with a regular partner for a single year, there is a 1% chance of pregnancy.

Question 4

Breast Cancer and Contraception (2).

Answer 4

1. Avoid any hormonal contraception.

2. Recommended : Copper Coil or Barrier Methods.

Question 5

Cervical/Endometrial Cancer and Contraception.

Answer 5

Avoid IUS i.e. Mirena Coil.

Question 6

Childbirth and Contraception (4).

Answer 6

1. Fertility does not return until 21 days after birth.
2. Lactational amenorrhoea is 98% effective for up to 6 months after birth (but women must be fully breastfeeding and amenorrhoeic).
3. PO Pill and Implant are safe in breastfeeding so can be started at any time after birth but COCP is avoided (UKMEC 4 before 4 weeks postpartum and UKMEC 2 after 6 weeks postpartum).
4. Coils can be inserted within 48 hours of birth or more than 4 weeks after birth (UKMEC 1) but not in between (UKMEC 3).

Question 7

Older Women and Contraception (3).

Answer 7

1. After last period, contraception is required for 2 years in women below 50 and 1 year above 50.
2. COCP can be used up to 50 and used to treat perimenopausal symptoms.
3. Stop PO Injection before 50 (due to risk of osteoporosis).