[johnep]

Local PCT is instituting PGD for EHC and I am required to produce a certificate from CPPE that I have passed the test in the booklet.

When I was at uni only hormone available was stilboestrol and OC a long way ahead in the future.

Having a problem with some of the questions:

1) 26 yr old with 35 day cycle exposed to risk on day 12. Is there a significant risk of pregnancy.?
2)30 yr old with 25 day cycle exposed to risk on day 12. Risk of pregnancy.?
3) Woman took Logynon 12 hours late but upsi in between. Risk of pregnancy?
4) Woman forgot micronor yesterday morning but had upsi last night.
Risk of pregnancy?

Must say that usually I would give Levonelle to all four to prevent anxiety.
What is official ruling.?

5) Lady on Epilim. Not specifically mentioned, but usually I refer all epileptics.
Is there a particular interaction of importance.

Only anticonvulsants we had in the old days were Pot Brom and phenobarbitone. Epanutin looked on as great advance.

6) Levonorgestrol increases risk of DVT.? I would say no unless took frequently.
Am I correct?

7) If hormonal cover compromised, extra precautions for 14 days. I usually say for rest of month. Correct advice?

I need to pass these questions as I am OOH locum and get more than my fair share of EHC requests, particular on a BHM and the girl is on the edge of 72 hours, and has no money!

thanks in advance,

johnep