Repro

Question 1

What are the 3 option of emergency contraception?

Answer 1

LevonorgesterelUlipristalCopper coil

Question 2

What is the time frame for taking levonorgestrel

Answer 2

within 72hrs of unprotected sex (3 days)

Question 3

What is the time frame for taking ulipristal?

Answer 3

within 120hrs of unprotected sex (5 days)

Question 4

What is the time frame for inserting Copper coil?

Answer 4

within 5 days of unprotected sex, or within 5 days of the estimated date of ovulation

Question 5

which is the most effective emergency contraception

Answer 5

copper coil(as not affected by BMI, malabsorption or enzyme-inducing drugs

Question 6

What is an issue with oral emergency contraception?

Answer 6

Unlikely to be effective after ovulation has occurred

Question 7

what must a women do if her period is delayed after using emergency contraception

Answer 7

take a pregnancy test!

Question 8

What is levonorgestrel MOA

Answer 8

progesteroneprevents/ delays ovulation

Question 9

What are the rules about COP/ POP after taking levonorgestrel

Answer 9

can be started immediatelyextra contraception [eg. condoms] are needed for the first 7 days of COP, or first 2 days of POP

Question 10

What is ulipristal acetate MOA

Answer 10

progesteroneDelays ovulation

Question 11

Which is more effective as emergency contraception levonorgestrel or ulipristal?

Answer 11

Ulipristal!!

Question 12

What are the rules about COP/ POP after taking ulipristal

Answer 12

wait 5 days before starting COP or POPextra contraception [eg. condoms] are needed for the first 7 days for COP, or first 2 days for POP

Question 13

What are the 2 precautions with ulipristal

Answer 13

avoid breastfeeding for 1 week after taking itavoid in patients with asthma

Question 14

what is Copper coil MOA

Answer 14

toxic to sperm & ovumalso inhibits implantation

Question 15

what is primary amenorrhea

Answer 15

not starting menstruation;by 13yrs- when no other evidence of pubertal developmentorby 15yrs- when other signs of puberty [eg. breast bud] are present

Question 16

what is hypogonadotropic hypogonadism?

Answer 16

deficiency in LH and FSH => deficiency of oestrogen

Question 17

what is hypergonadotropic hypogonadism

Answer 17

where the gonads fail to respond to stimulation from the gonadotropins (LH and FSH)=> with no negative feedback from oestrogen the anterior pituitary produces increasing amounts of LH and FSH

Question 18

what is kallman syndrome

Answer 18

genetic condition that causes hypogonadotrophic hypogonadism[causes failure to start puberty]

Question 19

what is kallman syndrome associated with

Answer 19

reduced of absent sense of smell

Question 20

what is secondary amenorrhoea

Answer 20

no menstruation for 3+ months after previous regular menstrual periods

Question 21

what are common causes of secondary amenorrhoea

Answer 21

pregnancy- most common causemenopausepremature ovarian failurehormone contraceptive eg. IUS or POPPCOSasherman’s syndromethyroid pathology

Question 22

how does hyperprolactinaemia cause secondary amenorrhoea

Answer 22

high prolactin act on hypothalamus to prevent GnRH releasewithout GnRH => no LH or FSH release = hypogonadotrophic hypogonadism