Women's Health

Question 1

What are some OCP contraindications?

Answer 1

Migraine with focal neurology
High BMI + Smoking
Breastfeeding
Thromboembolic Hx/FHx
HTN
Past or current Breast Ca

Question 2

What is the current advised regiment for OCP?

Answer 2

21 on, 4 off
Used to be 21 on 7 off, but this poses a greater risk of pregnancy, as the ovaries are likely to return to normal function and ovulation after 8-10 days. 4 off provides a greater window of protection in the event of a late restart.

Question 3

What is breakthrough bleeding?

Answer 3

Any unscheduled bleeding occurring between periods or during pregnancy. It may also happen when on birth control (OCP)

Question 4

How common is breakthrough bleeding or spotting in women who are on a continuous cycling plan (OCP)?

Answer 4

Up to 20%

Question 5

Name an example of a Combined Oral Contraceptive pill.

Answer 5

Rigevidon (brand name)
Ethinylestradiol 30mg (oestrogen content)
Levonorgestrel 150mg (progesterone content)

Question 6

Name an example of a Progesterone Only Contraceptive pill.

Answer 6

Desogesterol

Question 7

Give 3 types of emergency contraception.

Answer 7

Levonelle (levonorgestrel)
EllaOne (ulipristal acetate)
Copper Coil insertion

Question 8

What is the most effective form of emergency contraception?

Answer 8

Copper Coil

Question 9

Which emergency contraceptive pill is effective <96hr since UPSI?

Answer 9

Levonel

Question 10

Why do many women opt for a pill instead of a copper coil insertion as a form of emergency contraception?

Answer 10

A coil insertion is an invasive procedure.
There are also ethical arguments as the coil does not stop conception/fertilisation, it just prevents implantation of the embryo in to the uterus.