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A woman who wishes to use IUD for long term contraception presents reporting multiple episodes of unprotected sexual intercourse ( UPSI) since her last period. The earliest episode was 10 days ago and the most recent was 3 days ago. She is on Day 18 of a regular 28 day cycle. What is the single most appropriate advice to offer her from the list below?
Advise that its too late to use emergency contraception and to return when she has her period
Advise that its too late to use EC and offer a bridging method.
Advise that she can have a CopperIUD inserted for EC and ongoing contraception.
Advise that she can have an LNG-IUS inserted for EC and ongoing Contraception
The main action of the Etonogestrel implant is by:
Thickening the cervical mucus
Thinning the endometrium
Women who have an implant should be followed up at:
Which of the following drugs has the potential to affect the contraceptive efficacy of the Implant?
A woman is diagnosed with a viable 8 weeks intrauterine pregnancy with Copper IUD in situ. What is the most appropriate advice?
The IUD should be left alone as removal will increase risk of miscarriage
The IUD should be remove if strings are visible to decrease risk of adverse pregnancy outcomes such as preterm labour, septic abortion, chorioamnionitis and spontaneous miscarriage.
The IUD should only be remove if its causing pregnancy complications
The IUD should only be remove if its partially expelled.
Which of the following is false?
No evidence that implant increase venous thromboembolism and stroke risk
Implant do not affect bone mineral density
The absolute risk of Ectopic is very low in Implant users.
Implant use is related to weight gain.
A woman presents enquiring about the risk of Ectopic pregnancy associated with IUD. What is the single most appropriate advice to offer her?
Compared to no contraception, IUD increase the risk of Ectopic pregnancy.
Copper IUD decrease the risk of Ectopic pregnancy when a pregnancy occurs.
The LNG-IUS decrease the risk of Ectopic pregnancy when a pregnancy occurs
Overall the risk is Decreased with IUD but the risk is increased if a pregnancy occurs.
Intrauterine Device Work Primarily by :
Destroying developing embryos
A woman with a Cu IUD in situ presents with pelvic inflammatory disease. She wants to know if she should have the device removed. What is the single most appropriate advice?
Clinical outcomes are much worse if the device is removed
She can choose to keep her IUD whilst receiving treatment
Long Term clinical outcomes are better if the device is removed
Removal is recommended unless sex has occurred in the last 7 days.
Eight months after her implant was inserted, a woman presents at clinic concerned about persistent bleeding. After excluding risks of STIs, other pathology and pregnancy, which of the following best describes how this woman should be managed?
She should be advised that after 7 months of use her bleeding patterns are likely to remain as they are and the clinician should remove the implant
She should be advised that bleeding patterns can remain irregular with use of the implant and she can be offered a combined hormonal contraceptive method to manage her persistent bleeding.
She should be advised that bleeding patterns can remain irregular with use of the implant as she was advised of this before insertion and no action should be taken.
She should be advised that the bleeding patterns will settle down over time and that no action should be taken
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