Progesterone only pill FSRH

Question 1

POP perfect and typical use

Answer 1

Perfect 99%
Typical 93%

Question 2

Missed pill timing for
Traditional POP
Desogestrel
Drospirenon

Answer 2

Traditional POP 3 hours (27 since last)
Desogestrel 12 hours (36 hrs from last)
Drospirenone 24 hours (48 hours from last)

Question 3

What to do if missed pill?

Answer 3

Take missed pill asap, and next pill at normal time.
Additional contraception for 48 hours (7dats for DRSP)
For DRSP, if last week of active pills, miss break

Question 4

POP When EM contraception need

Answer 4

If UPSI from time missed pill until correct pill use for 48 hours

DRSP from time missed pill until 7 days of normal use or missed pill day 1-7 and SI in HFI

Question 5

When does vomiting effect the effectiveness of the pill

Answer 5

Within 2 hours
DSG/DRSP 3-4 hours

Question 6

UK Mec 4 for POP

Answer 6

Current breast cancer

Question 7

UK mec 3 POP

Answer 7

IHD
Stroke
Past breast cancer
Decompensated cirrhosis
Hepatocellular tumours

Question 8

DSRP should be avoided

Answer 8

High K
K sparing diuretics
Renal failure

Question 9

Which POP more likely to infrequent bleeding amenorrhoea

Answer 9

Desogestrel/drospirenon

Question 10

How to start POP

Answer 10

Day 1-5 cycle
Day 5 after abortion
D21 agter childbirth

Then no condomts needed
Otherwise need 2 day condoms
DRSP different Day 1 cycle/abortion, D21 childbirth - otherwise 7 days condoms

Question 11

How long after UPA can POP be taken?

Answer 11

UPA delaying ovulation may be reduced if POP within 5 dats, should wait 5 days after UPA before starting POP

Use condons until POP 2 days