Progesterone only

Question 1

How to take

Answer 1

Every day

Same time ±3hrs

Question 2

Action of the mini pill

Answer 2

Thickens cervical mucus (desogestrel inhibits ovulation)

Question 3

Advantages of the mini pill

Answer 3

Can be used in older women, lactating mothers, VTE

Not affected by antibiotics

Question 4

Action of depo provera injection

Answer 4

IM injection every 3 months

Inhibits ovulation & thickens mucus

Question 5

Advantages of depo provera injection

Answer 5

Can be used in breast feeders

Can cause irregular bleeding for first few weeks, usually followed by amenorrhoea

Question 6

Disadvantages of depo provera injection

Answer 6

Progestogenic side effects

Bone density decreases over first 2-3 yrs, then stabilizes. Regained after stopping.

Question 7

Action of nexplanon implant

Advantages? disadvantages?

Answer 7

Lasts 3 years. Prevents ovulation & thickens mucus
No drop in bone density
Progestogenic side effects common, particularly irregular bleeding in first year

Question 8

Action of mirena coil

Answer 8

Replaced every 3-5yrs

Changes to cervical mucus and tubal fluid + prevents endometrial proliferation

Question 9

Advantages of mirena coil

Answer 9

Reduces menstrual loss and pain
Fewer systemic side effects
Rapid return to complete fertility after removal.

Irregular light bleeding can be a problem however

Question 10

Complications of contraceptive coils

Answer 10

Pain/Cervical Shock, Expulsion, Perforation, Menorrhagia/Dysmenorrhoea
Can spread asymptomatic STIs to PID

Question 11

Contraindications to contraceptive coil

Answer 11

Cervical/Endometrial cancer 
Vaginal bleeding 
Pelvic infection
breast cancer 
pregnancy