Contraception and Family Planning — Flashcards

Flashcard 61: If a single dose of OCP is missed- _____

Answer: Take the missed pill as soon as possible and the next pill at the usual time (this may involve taking two pills on the same day).

Flashcard 62: In patients who become pregnant while taking **Progestin-only pills (POPs)**, the proportion of pregnancies that are ectopic is _____ than in the general population.

Answer: Higher (increased proportion)

Extra: While all contraceptives (including POPs and IUDs) reduce the **absolute** risk of ectopic pregnancy by preventing pregnancy overall, if a pregnancy **does** occur despite use, the **relative** risk (the proportion of pregnancies that are ectopic) is higher for Progestin-only pills and IUDs compared to the general population. In contrast, Combined OCPs (COCPs) decrease both the absolute risk and the relative proportion of ectopic pregnancies.

Flashcard 63: Are IUCDs safe in women with SLE?_____

Answer: Yes

Flashcard 64: Which method of tubal ligation involves subserosal injection of saline-adrenaline to balloon the mesosalpinx, followed by resection of a segment and burying the proximal stump beneath the serosa?

Answer: Uchida method

Flashcard 65: Phasic pills have variable amounts of active ingredients (especially _____) that mimics the natural changes in menstrual cycle hormonal levels.

Answer: progesterone

Flashcard 66: Multiload 375 is replaced every _____ years

Answer: 5

Flashcard 67: Absolute contraindications to combined oral contraceptive use: Undiagnosed _____ bleeding

Answer: vaginal

Flashcard 68: Does the risk of breast cancer increase after discontinuation of OCP?_____

Answer: No

Flashcard 69: The woman needs to use barrier contraception or abstain in the first _____ days post-insertion of norplant

Answer: 7

Flashcard 70: Which IUD leads to a localized inflammatory response in the endometrium, activating lysosomes and killing sperm?_____

Answer: CuT