progestrogen only pill

Question 1

contraindication

Answer 1

active breast cancer

Question 2

types

Answer 2

traditional

desogestrel

Question 3

traditional POP

Answer 3

pill cannot be delayed >3hrs

taking pill 3 hrs late is classed as a missed pill

Question 4

desogestrel

Answer 4

can be taken up to 12hrs late

taking >12hrs late is classed as missed pull

Question 5

traditional POP: mechanism of action

Answer 5

thicken cervical mucus
alter endometrium
reduce ciliary action of fallopian tubes

Question 6

desogestrel: MOA

Answer 6

inhibit ovulation

thicken cervical mucus alter enodmetrium

Question 7

starting POP: day 1-5

Answer 7

immediate protection

Question 8

starting POP: after day 5

Answer 8

additional contraception 48hrs

Question 9

side effects

Answer 9

irregular bleeding
breast tenderness
headaches
acne

Question 10

effect on bleeding

Answer 10

1/3 amenorrhoeic
1/3 regular bleed
1/3 irreg bleed

Question 11

increased risk of

Answer 11

ovarian cyst
ectopic pregnancy with traditional POP
breast cancer

Question 12

pill is classed as missed if it is..

Answer 12

> 3hrs late for traditional

> 12hrs late for desogestrel

Question 13

missing a pill

Answer 13

take a pill ASAP

use extra contraception for 38hrs

Question 14

missing a pill - when is emergency contraception needed

Answer 14

if had sex since missed pill or within 48hrs of restarting regular pills

Question 15

episodes of diarrhoea of vomit

Answer 15

classed as missed pill

extra contraception until 48hrs after diarrhoea/vomit settle