MSRA: Contraception Flashcards
How long does a man have to wait to have UPSI following vasectomy?
12 weeks (Following 2x semen analysis confirming azoospermia)
What options are available for post-partum contraception?
IUD within 48 hours of delivery
All progesterone can be used from Day 21
IUS/IUD from day 28 (if not fitted earlier)
Oestrogen from 6 weeks
How often is the Depo injection administered?
Every 12 weeks
What are the unique side effects of the Depo injection?
Weight gain
Delay in return of fertility (up to 12-18 months)
Osteoporosis
What risks are associated with the COCP?
Breast and cervical cancer
Stroke and VTE
What is the failure rate of female sterilisation?
1 in 200
What is the failure rate of male sterilisation?
1 in 2000
Which type of condoms should be used in those with a latex allergy?
Polyurethane condoms
Which methods of contraception should be stopped at the age of 50?
COCP and Depo injection
Give examples of UKMEC4 criteria for the use of the COCP
Migraine with aura
Atrial fibrillation
Current breast cancer
Age over 35 and smoking over 15 cigarettes a day
Breastfeeding and less than 6 weeks postpartum
What action is needed following one missed COCP?
Assuming good compliance
Take missed pill as soon as possible
No EC needed
What action is needed following two missed COCPs?
Assuming good compliance
Take missed pill as soon as possible
Week 1 - consider EC
Week 2 - no EC needed
Week 3 - omit pill free break
What is the first line contraceptive choice for young women?
Implant
How soon are the different methods of contraception effective?
Copper coil - immediately
POP - 2 days
Everything else (COCP, Mirena, implant) 7 days
What is the mechanism of action of the Depo injection?
Inhibits ovulation and thickens cervical mucous
