Contraception

• What is Ulipristal also known as?

  EllaOne
• How long can Ulipristal be used after unprotected sex?

  Up to 120 hours
• What should you do if you miss one COCP pill?

  Take the last pill ASAP
• What are the cancer risks associated with the combined oral contraceptive pill?

  Increased risk of breast and cervical cancer
• What are the protective effects of the combined oral contraceptive pill?

  • Protective against ovarian cancer
  • Protective against endometrial cancer
• What is the time until effective for different contraceptives?

  • Instant: IUD
  • 2 days: POP
  • 7 days: COC, injection, implant, IUS
• What type of contraceptive is Nexplanon?

  Implantable contraceptive
• Do progestogen-only pills require extra precautions when taken with antibiotics?

  No extra precautions are needed
• What is required when switching from a traditional POP to COCP?

  7 days of barrier contraception
• What is the primary mode of action of the contraceptive implant?

  Inhibition of ovulation
• When switching from an IUD to COCP, when is no additional contraception needed?

  If removed day 1-5 of cycle
• When can a contraceptive implant be safely inserted after childbirth?

  Any time after childbirth
• What should be done if unprotected sex occurred after a missed POP?

  Emergency contraception is needed
• How long does the progestogen-only pill take to become effective?

  48 hours
• In which patients should Ulipristal be used with caution?

  Patients with severe asthma
• What are the criteria for lactational amenorrhoea as a contraceptive method?

  • Amenorrhoeic
  • Baby <6 months
  • Breastfeeding exclusively
• What is an absolute contraindication for the COCP?

  Smoking more than 15 cigarettes/day
• Can the combined oral contraceptive pill be given 6 weeks postpartum?

  Yes, even if breastfeeding
• What should be done if unprotected intercourse occurs from day 21 postpartum?

  A pregnancy test should be performed
• What is the most effective form of emergency contraception?

  Copper intra-uterine device
• What is the effect of BMI on the copper intra-uterine device?

  Not affected by BMI
• How long should women wait after taking Ulipristal before starting regular hormonal contraception?

  5 days
• What is the contraceptive patch regime?

  • Wear one patch a week for three weeks
  • Do not wear a patch on week four
• What action is required if a patch change is delayed over 48 hours?

  Barrier protection for 7 days
• What happens if two COCP pills are missed between days 8-14?

  No emergency contraception is required
• Can both levonorgestrel and ulipristal be used more than once in the same cycle?

  Yes
• Why should wheelchair users not be prescribed the COCP as first-line contraceptive?

  Risks outweigh benefits (UKMEC 3)
• What is a common side effect of Nexplanon?

  Unscheduled bleeding
• How can unscheduled bleeding from Nexplanon be managed?

  With a three-month course of COCP
• What is the primary action of the combined oral contraceptive pill?

  Inhibits ovulation
• What does the progestogen-only pill (excluding desogestrel) do?

  Thickens cervical mucus
• What is the action of the desogestrel-only pill?

  Inhibits ovulation
• What is the action of the injectable contraceptive medroxyprogesterone acetate?

  Inhibits ovulation
• What does the intrauterine system (levonorgestrel) do?

  Prevents endometrial proliferation
• What is the action of levonorgestrel as an emergency contraceptive?

  Inhibits ovulation
• What is the action of Ulipristal as an emergency contraceptive?

  Inhibits ovulation
• What does the intrauterine contraceptive device do?

  Decreases sperm motility and survival
• What are the risks associated with the combined oral contraceptive pill?

  • myocardial infarction
  • ischaemic stroke
  • breast cancer
  • cervical cancer
  • hypertension
• When can the intrauterine device or system be inserted after childbirth?

  Within 48 hours or after 4 weeks
• When can the copper intrauterine device be inserted for emergency contraception?

  Within 5 days after UPSI