Emergency contraception refers to the use of contraceptive methods to prevent unintended pregnancy after unprotected sexual intercourse or contraceptive failure. It is an important aspect of reproductive health care, as unintended pregnancies can have significant physical, emotional, and social consequences.
In the NEET PG exam, questions related to emergency contraception may test your knowledge of the different types of emergency contraception, their mechanisms of action, effectiveness, side effects, and contraindications. You may also be asked to identify appropriate candidates for emergency contraception, counsel patients on its use, and manage potential complications.
Read this blog further to learn more about this important OBGYN topic for NEET PG exam preparations.
Overview
Contraception given to prevent pregnancy, within 72 hours of unprotected intercourse.
Abortion is not a method of emergency contraception
Q. Which of the following is not used as an emergency contraception? (NEET Jan 2020)
A. Danazol
B. Copper T
C. RU 486
D. High dose estrogen
CONTRACEPTION
IUCD
1st generation: Lippes loop (foreign body action)
2nd generation: Act by causing aseptic inflammation, spermatotoxic action of copper, foreign body action
Cu7, Cu 380 Au / Ag (380: Surface area of cu in mm2 on device): Effective for 5 years
Paragard: Effective upto 10 years
3rd generation: Progesterone containing devices
Progestasert: 38 mg, releasing 65 mcg / day
LNG devices (MIRENA): 52 mg, releasing 20 mcg / day
Also used for management of
Menorrhagia
Endometriosis
Endometrial hyperplasia
MOA of IUCD
Foreign body action
Endometrium non receptive
↓↓ Ovulation
Important Information
Progestasert is having another action: Act by thickening of cervical mucous (main action); LNG also makes cervical mucosa thick but main action is making endometrium non - receptive
Increases during ovulation, progesterone is a thermogenic hormone
Previous Year Questions
Q. A woman with an IUCD came to OPD for removal but the Gynecologist could not remove the IUCD as there was no thread visible to pull on. To locate the lUCD an Ultrasound was done. The IUCD was seen besides the ovary. How would one remove this IUCD?(FMGE June 2021)
A. Hysteroscopy
B. USG guided removal by an IUCD hook
C. Laparoscopy
D. Laparotomy
Q. The oral contraceptive pill 'Mala N' contains which of the following type of progesterone component? (JIPMER Dec 2019)
A. Levonorgestrel
B. Etonorgestrel
C. Desogestrel
D. Drospirenone
Q. Which of the following is not a mechanism of action for oral contraceptive pills? (AIIMS 2020)
A. Prevents ovulation
B. Prevents Implantation
C. Thickens Cervical mucus
D. Increases gonadotropin secretion
To study this topic in detail, download the PrepLadder app and find in-depth video lectures by India’s top OBGYN faculty.
PrepLadder Medical
Get access to all the essential resources required to ace your medical exam Preparation. Stay updated with the latest news and developments in the medical exam, improve your Medical Exam preparation, and turn your dreams into a reality!