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8 Cards in this Set
- Front
- Back
Coitus interruptus |
WHAT IS IT - withdrawal of the entire penis before ejaculation - 17 to 27 women will become pregnant in the first year ADVANTAGES - free - no side effects - no prescription - can be used with other methods DISADVANTAGES - no STI protection - disrupts sexual pleasure |
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Lactational Amenorrhea |
WHAT IS IT - based on the physiology of breastfeeding - 2% chance of pregnancy inthe first 6 months post partum - three critera (absence of menses, full or nearly full breastfeeding, less than 6 months post partum) - elevated prolactin levels and a reduction of GnRH suppress ovulation, leads to a reduction in LH release and decreasde follicular maturation ADVANTAGES - no side effects - convenient and free - no hormone effects - no prescriptions - immediate effectiveness - facilitates postnatal weight loss DISADVANTAGES - uncertain return to fertility - not to be used if woman has HIV |
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Male Condoms |
WHAT IS IT - sheath worn over the penis during intercourse - acts as a barrier to the passage of semen into the vagina - 97% efficacy rate with correct use ADVANTAGES - readily available - inexpensive - effective against pregnancy and STIs DISADVANTAGES - decreases enjoyment of sex - breakage and slippage - lubricants may damage condoms |
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Implanon |
WHAT IS IT - inserted subcutaneously into the upper arm - long acting progesterone only (etonogestrel) - progestin released slowly into the body over 3 years - suppresses LH surge, suppresses ovulation, and causes development of scan cervical muscous to deter sperm penetration and prevents endometrial growth - 99% effective ADVANTAGES - longevity - prompt return of fertility after removal - no adverse effect on breast milk production DISADVANTAGES - drug interactions (many medicines decrease the efficacy) - difficulty in removal |
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Mini Pill |
WHAT IS IT - progestin only pill - suppress ovulation - increase cervical mucous - reduce endometrial growth - reduce cilia motility in fallopian tube slowing ovum transport - 97-99% effective with correct use ADVANTAGES - no increased DVT risk - fertility returns quickly - safe in breastfeeding - not affected by antibiotics - no headache side effect - healthier choice for women over 40 DISADVANTAGES - must be taken at the same time - may alter menstrual patterns - not suitable for some women (heart or liver disease, epileptics) |
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Intrauterine Devices |
WHAT IS IT - inserted into the uterus and left in situ - can be left in for 5 to 8 years - changes the endometrium and tubal fluid - can also be used for emergency contraception ADVANTAGES - long lasting - low maintenance - safe in breastfeeding DISADVANTAGES - may cause a heavier menstrual flow - risk of perforation of the uterine wall - difficult to insert in primips |
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Injectable contraception |
WHAT IS IT - IM injection that lasts for three months - does not include estrogen - suppresses ovulation by inhibiting LH and FSH surge, thickening cervical mucous and causing thinning of the endometrium ADVANTAGES - low maintenance - progestin only - safe in breastfeeding - DISADVANTAGES - fertility may take up to a year after ceasing - irreversible for 3 months - may increase appetite and weight gain |
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Hormonal Emergency Contraception |
WHAT IS IT - levonorgestrel only pill - does not work if already pregnant - inhibits or delays ovulation |