IUD

Question 1

why aren’t IUD’s advised for under 25

Answer 1

high risk of PID

Question 2

two type IUD

Answer 2

COPPER or levonorgestrel release

Question 3

info rules of levonorgestrel releasing

Answer 3

reduce period pain and bleed and risk of PID
- prescribe by brand as varying indications and duration of use

Question 4

s/e of iUD

Answer 4

• pain on insertion
  –intrauterine perforation s/e cant feel threads of iud , severe pelvic pain on insertion, pain in sex , pain or inc bleeding for more than a few weeks
  -infection risk

Question 5

why infection risk iud

Answer 5

• related with existing STI happens in first 20 days greatest risk
• pre insertion chlamydia screening I high risk i.e under 25, new partner, multiple partner in one year, regular partner has had other partners, local prev and history STI
• ab prophylaxis - if for emergency contraception, tx as emergency if pain for next 20 days

Question 6

removing the iud procedure

Answer 6

1)do not remove mid cycle (without added contraception next 7 days)
2) if removal essential and upsi occur = Give ehc
3) if pregnant remove 1st trimester

Question 7

Parenterl contraceptive - medroxyprogesterone injection , number of years and s/e

Answer 7

2 year protection
risk of osteoporosis
- delay in return to fertility and menstrual irregular

Question 8

norethisterone injection how long

Answer 8

8 weeks

Question 9

etonogestrel implant how long and s/e

Answer 9

3 years
risk of reaching pulmonary artery
- implant must be palpable or locate and remove asap
- unable to locate= chest imaging

Question 10

Spermicidal contraceptives why

Answer 10

barrier contraceptives are less effective but can improve reliability in couples who use spermicide