Questions (Contraception) Flashcards
A 20 year old woman attends the walk-in sexual health clinic after missing a number of combined oral contraceptive pills. She has missed days 17, 18, and 19 of pill-taking. There has been no recent unprotected sexual intercourse.
What is the most appropriate advice? [1]
Take the most recently missed pill, continue the rest of the packet, and omit the next pill-free week
- This patient should take the missed pill and today’s pill (i.e. two pills), and continue the rest of the pack. When this pack ends, she should start taking the next pack straight away i.e. without taking a pill-free break
Levonelle contains levonorgestrel, which is a synthetic progestogen (a form of the hormone progesterone). What is it’s indication? [1]
A patient who has a BMI of 35 wants to take it. How would you prescribe it? [1]
Progesterone emergency contraception
* Double dose for BMI > 26.
Why specifically shouldn’t COCP be given x migraine with aura? [1]
Increases risk of stroke
How often should COCP have an induced bleed if used for contraception? [1]
Every 3 months
Levonelle contains levonorgestrel, which is a synthetic progestogen (a form of the hormone progesterone) for emergency contraception
What time frame can it be given in? [1]
What is it’s MoA? [1]
Use within 72hrs of event
* Inhibits ovulation and it may also make the cervical mucus thicker, which makes it harder for sperm to reach the egg.
A patient takes Levonelle as emergency contraception.
She vomits 2 hrs after taking it.
She wants to know what to do - what advise should you give? [1]
Take another if vomiting occurs 3hrs after taking
