Sexual Health

Question 1

How to assess a woman requesting contraception?

Answer 1

Her preferred method and future plans of children etc.

Identify comorbidities:
HTN, migrains, allergies, smoking, reproductive hx, drug hx.

Assess risk of STI, sexual abuse

Question 2

What is the Fraser criteria?

Answer 2

It is lawful to provide contraception advice and tx to young people without parental consent if Fraser criteria met:

Understands practitioners advice.
Likely to begin or continue having sex.

Ppl >16 presumed to be competent to consent. If under 16 then competence must be demonstrated.

Question 3

What are the different types of intrauterine contraception?

Answer 3

Copper-bearing IUD

Levonorgestrel-releasing IUS:
Available in 2 doses, 13.5mg licensed for 3 years.
52mg licensed for 5 yrs.

Question 4

Protection and risks of intrauterine contraception?

When can you not use these?

Answer 4

Benefit of contraception outweighs risk:
Hx, fx of VTE, impaired cardiac function, AF,

DO NOT USE:
stroke, long QT syndrome, unexplained vaginal bleeding, cervical cancer, distorted uterine cavity, PID, symptomatic STIs

Question 5

Progesterone only contraceprtion examples?

Answer 5

POP:
Contain either norethisterone
Desogestrel or levonorgestrel.