You encounter a 16-year-old female patient who is interested in learning about the most appropriate forms of contraception for her. During your discussion, you highlight the advantages of long-acting reversible contraception, and she expresses interest in learning more about the contraceptive implant and its mechanism of action. What is the primary mode of action of the contraceptive implant?
A 27-year-old female patient presents to the GP seeking emergency contraception. She engaged in unprotected sexual activity with a new partner 4 days ago and is not currently using any form of regular contraception. The patient has a regular menstrual cycle of 28 days and is currently on day 12. She has no significant medical history and is not taking any medications.
What would be the most suitable advice or course of action to provide?
A 45-year-old lady comes to see you regarding her copper intrauterine device (Cu-IUD). The device contains >300 mm² of copper. She had it inserted 2 years ago and would like to know how long it can be used for before it needs removing.
What sentence below is correct regarding removing the Cu-IUD and this patient?
A 27-year-old woman presents to you after experiencing a condom break during intercourse with her partner last night. She is currently on day 14 of her 28-day menstrual cycle and reports that she was previously taking the combined oral contraceptive pill, but has not had time to obtain a refill since it ran out 2 months ago. She is seeking emergency contraception today and plans to resume taking the combined oral contraceptive pill as soon as possible.
What recommendation would you make in this situation?
A 35-year-old female patient comes to you seeking advice on contraception. She has a medical history of obesity and migraines without aura. The patient is currently taking orlistat and loratadine. During her visit to your clinic, her body mass index is measured to be 27kg/m² and her blood pressure is 100/70 mmHg. What advice would you give her?
A 35-year-old woman presents to you requesting to start taking the pill. Her BMI is 36 kg/m² and she smokes 20 cigarettes daily. Her blood pressure reading is 126/88 mmHg. She is currently on day 13 of her menstrual cycle and you inform her that the combined oral contraceptive pill is not suitable for her. You suggest starting her on the progesterone only pill and she agrees, expressing her desire to begin as soon as possible.
What advice would you give her to ensure protection against pregnancy?
A 27-year-old woman contacts you seeking advice. She has been taking Microgynon 30 for contraception for the past two years. However, she recently went on a weekend trip with her partner and forgot to take her pills, missing two in a row. She had regular intercourse with her partner during the weekend. Today, she is supposed to take the 19th pill of the packet and claims not to have missed any other pills. You advise her to take two pills as soon as possible. What further advice should you give her?
A 25-year-old woman is seeking advice on contraception following a planned surgical abortion. She is interested in getting an intra-uterine device inserted. What is the recommended waiting period after a surgical termination of pregnancy before getting an IUD fitted?
A 35-year-old woman presents with a one-week history of morning sickness. She is 10 weeks pregnant. She can keep down oral fluid but has vomited twice in the previous 24 hours. There are no acid reflux symptoms, abdominal pain, vaginal bleeding or urinary symptoms.
She takes folic acid and is not on any other medications.
On examination, her temperature is 36.8ºC. Blood pressure is 100/60 mmHg and heart rate is 80/min. Her abdomen is soft and non-tender. Urine B-HCG is positive and urine dipstick shows 1+ ketone only. There is no weight loss.
What is the most appropriate management option for this patient?
A 27-year-old woman visits her doctor after missing her last two Microgynon 30 pills, which she has been taking for the past 4 years. She is currently 11 days into a new packet of pills and had not missed any prior to this. During intercourse with a new partner last night, the condom broke. What is the appropriate course of action?