Sexual health - corrections

Question 1

What are the 3 options for emergency contraception?

Answer 1

• levonorgestrel (‘Levonelle’)
• ulipristal acetate (‘EllaOne’)
• copper coil

Question 2

How long is levonorgestrel (‘Levonelle’) licenced for?

Answer 2

72hrs

Question 3

How long is ulipristal acetate (‘EllaOne’) licenced for?

Answer 3

120hrs

Question 4

How long is the copper coil licenced for emergency contraception?

Answer 4

5 days

Question 5

State how long you should wait to start COC or POP after taking ulipristal acetate (‘EllaOne’)

Answer 5

5 days

Question 6

State how long extra contraception (condoms) is required for after both EC pills

Answer 6

7 days for COC
2 days for POP

Question 7

State some downsides to EllaOne

Answer 7

Can’t use progesterone contraceptive methods directly before or after (missed a few pills prior)

Question 8

State some causes of vulval puritis

Answer 8

• other (eczema, atopic dermatitis, psoriasis, candida infection)
• lichen sclerosis
• lichen planus
• infection
• extramammary Paget’s disease of the vulva

Question 9

State how to differentiate genital lichen sclerosis and planus

Answer 9

Ivory white plaques, figure of 8 around anus, ecchymosis & architectural change
Sclerosis - only vulva
Planus - mucus membranes so vagina, mouth, nails & hair, also discharge)

Question 10

State the complication of genital lichen sclerosis or planus

Answer 10

5% risk of cancer progression

Question 11

State the mechanism of the POP

Answer 11

thickens cervical mucous

Question 12

State how soon the POP becomes effective

Answer 12

Immediate protection if started on 1st-5th day of MC
Otherwise 48hrs