EBCOG Part 1-Postnatal Care & Sexual Reproductive Health-Day 4(EMQ)

A. Combined oral contraceptive pill (COC)
B. Combined oral contraceptive transdermal patch (Evra)
C.Combined oral contraceptive vaginal ring (NuvaRing)
D.Copper intrauterine device (Cu-IUD)
E.Progestogen-only injection (Depo-Provera)
F.Hysteroscopic sterilisation
G.Laparoscopic sterilisation
H.Levonelle
I.Mirena (LNG-IUS)
J.Natural family planning (Persona; Clearblue)
K.Progestogen-only pill
L.Progestogen-only implant (Nexplanon)
M. Ulipristal acetate
N. Vasectomy

Each clinical scenario refers to a woman seeking contraception given a particular set of medical circumstances and preferences. For each scenario, select the most appropriate contraceptive method from the options listed. The same contraceptive method may be valid in more than one clinical scenario.

1. 20 years old, sickle cell disease, experiences painful sickle cell crises with menstruation.She is nulliparous. She has had some symptom alleviation when using POP, but she is occasionally forgetful with pill taking.

2. 26 years old, infrequent periods, mild hirsutism, mild acne and polycystic ovaries on pelvic ultrasound. Wishes effective contraception that may also reduce her hirsutism and acne.

3.  35 years old, trying to conceive by improving her understanding of when her fertile period is during her menstrual cycle to better time sexual intercourse. Has been told by a friend of a method that is obtainable over the counter with- out prescription.

4. 21 years old, unprotected sexual intercourse 4 days earlier. Currently she is day 18 of her 28-day menstrual cycle. Wishes the most effective method to avoid pregnancy. This is her third episode of requesting emergency contraception.