DOCSLIB.ORG

Which Contraceptive Is Right for You?

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Which Contraceptive Is Right for You? IT’S NOT A MATTER OF LUCK! WHICH CONTRACEPTIVE IS RIGHT FOR YOU? @FIUHLP FIU Healthy @FIUHLP FIUHLP @FIUHLPRD Living Program BEFORE YOU GET BUSY…. Prescription/ Can Be Used Pregnancy Doctor’s Protects Contraception Ahead of Time Prevention Visit Need Against STI’s Key Hormonal Available at SHC The N/A Pill/Patch/Ring 90% Yes No N/A Hormonal IUD 99% Yes No N/A Implant 99% Yes No The Shot N/A 99% Yes No Non-Hormonal No Male Condoms 80% No Yes Female Yes Condoms 80% No Yes N/A Copper IUD 99% Yes No Yes Diaphragm 90% Yes No No Spermicide 70% No No Fertility Yes Awareness 75% No No *Pregnancy and STI prevention Sterilization N/A Almost 100% Yes No depends on personal consistent N/A Withdrawal 70% No No Yes and correct use.* Abstinence 100% No Yes Hormonal Spermicide The Pill/Patch/Ring Kills sperm Available in jelly, foam, cream, suppositories, and film Release hormones to inhibit the body’s natural Spermicide must be reapplied every time before sex cyclical hormones to help prevent pregnancy Provides poor protection against pregnancy itself - more Suppress ovulation, thicken the cervical mucus, and effective when used with a barrier method thin the lining of the womb • The Pill must be taken daily. Cervical Cap • The Patch must be replaced weekly. Treated with spermicide • The Ring can be worn for 3 weeks. Can be inserted before sex, and must be left in place 6 hours afterward Hormonal IUD Spermicide must be reapplied every time before sex Requires a doctor’s visit for fitting and another to ensure correct use Thickens cervical mucus and thins the lining of the uterus Less effective for women who have had vaginal birth Can be worn for 3-5 years, depending on the type of IUD Implant Fertility Awareness/Natural Family Planning Involves monitoring fertile ovulation days, menstrual cycles, hormones, Releases a stead dose of hormones to thicken cervical mucus, and cervical mucus thin the lining of the uterus, and can suppress ovulation Daily track necessary Inserted under the skin and can be used for 3 years Not very effective when not used consistently, during stressful times, The Shot (Depo) with irregular cycles, or with hormonal changes Suppress ovulation and thickens the cervical mucus Sponge Must be administered at a doctor’s office every 12 weeks Less effective for women who have had vaginal birth Treated with spermicide Non-Hormonal Available without a prescription Used only at a time of intercourse Male and Female Condoms Must be used for every act of intercourse Available in latex and non-latex Sterilization Copper IUD Performed in a doctor’s office, hospital, or outpatient surgical clinic Makes uterus and fallopian tubes produces fluid that kills sperm Women: Tubal ligation or Essure Can be worn for 10 years Men: Vasectomy Diaphragm Abstinence Must be used with spermicide Only way to prevent pregnancy and STI’s 100% Can be inserted 6 hours prior to sex and must be left in for at least 6 hours afterward Withdrawal Can be worn up to 24 hours Some ejaculate released before climax may contain sperm Spermicide must be reapplied every time before sex Time-sensitive Resources at the Student Health Center Clinical Services Prescription Birth Control STI Testing Healthy Living Program Sexual Health Consultation Condoms, Lube, Dental Dams Free, Confidential HIV Testing For More Information 305-348-2401 ext. 5 SHC 180 (MMC) 305-919-5307 WUC 307 (BBC) studenthealth.fiu.edu [email protected] [email protected].
Load more

Recommended publications
  • Plan C: Copper IUD As Emergency Contraception IMPLEMENTATION TOOLKIT for Administrators and Clinicians
    Plan C: Copper IUD as Emergency Contraception IMPLEMENTATION TOOLKIT for Administrators and Clinicians March 2016 Developed by TABLE OF CONTENTS SECTION 1: OVERVIEW ● Introduction Page 1 ● Background Page 2 ● Who It’s For Page 3 ● How to Use It Page 4 ● Additional Considerations Page 5 SECTION 2: ADMINISTRATIVE ● Pre-Implementation Tools Page 6 1.1 Overview: Plan C 1.2 Checklist: Pre-Implementation 1.3 Staff Buy-in 1.4 Checklist: Policies and Procedures 1.5 Sample: Policies and Procedures 1.6 Marketing Plan C 1.7 Sample: Data Collection Tool SECTION 3: CLINICAL ● Implementation Tools Page 21 2.1 The Facts: The Copper-T as Plan C 2.2 Sample: EC Screening Questionnaire 2.3 Triage Scripts 2.4 Contraceptive Counseling 2.5 Eligibility Flowchart: Plan C 2.6 Checklist: Exam Room Preparation 2.7 Checklist: Client-Centered Approach 2.8 Fact Sheet: Copper IUD Aftercare 2.9 Side Effects Management: Steps in the Delivery of Care 2.10 Side Effects Management: Messages, Assessment & Treatment SECTION 4: ADDITIONAL RESOURCES ● Client Education Material: F.A.Q.’s Page 40 ● Client Education Material: EC Chart Page 42 SECTION 5: REFERENCES Page 44 OVERVIEW Introduction The New York State Center of Excellence for Family Planning and Reproductive Health Services (NYS COE) developed this toolkit to support agencies that receive Title X family planning funding through the New York State Department of Health (NYS DOH) Comprehensive Family Planning and Reproductive Health Care Services Program – as well as other sexual and reproductive health service providers – to implement Plan C: Copper IUD as Emergency Contraception (Plan C).
    [Show full text]
  • U.S. Medical Eligibility Criteria for Contraceptive Use, 2016
    Morbidity and Mortality Weekly Report Recommendations and Reports / Vol. 65 / No. 3 July 29, 2016 U.S. Medical Eligibility Criteria for Contraceptive Use, 2016 U.S. Department of Health and Human Services Centers for Disease Control and Prevention Recommendations and Reports CONTENTS Introduction ............................................................................................................1 Methods ....................................................................................................................2 How to Use This Document ...............................................................................3 Keeping Guidance Up to Date ..........................................................................5 References ................................................................................................................8 Abbreviations and Acronyms ............................................................................9 Appendix A: Summary of Changes from U.S. Medical Eligibility Criteria for Contraceptive Use, 2010 ...........................................................................10 Appendix B: Classifications for Intrauterine Devices ............................. 18 Appendix C: Classifications for Progestin-Only Contraceptives ........ 35 Appendix D: Classifications for Combined Hormonal Contraceptives .... 55 Appendix E: Classifications for Barrier Methods ..................................... 81 Appendix F: Classifications for Fertility Awareness–Based Methods ..... 88 Appendix G: Lactational
    [Show full text]
  • Vaginal Administration of Contraceptives
    Scientia Pharmaceutica Review Vaginal Administration of Contraceptives Esmat Jalalvandi 1,*, Hafez Jafari 2 , Christiani A. Amorim 3 , Denise Freitas Siqueira Petri 4 , Lei Nie 5,* and Amin Shavandi 2,* 1 School of Engineering and Physical Sciences, Heriot-Watt University, Edinburgh EH14 4AS, UK 2 BioMatter Unit, École Polytechnique de Bruxelles, Université Libre de Bruxelles, Avenue F.D. Roosevelt, 50-CP 165/61, 1050 Brussels, Belgium; [email protected] 3 Pôle de Recherche en Gynécologie, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, 1200 Brussels, Belgium; [email protected] 4 Fundamental Chemistry Department, Institute of Chemistry, University of São Paulo, Av. Prof. Lineu Prestes 748, São Paulo 05508-000, Brazil; [email protected] 5 College of Life Sciences, Xinyang Normal University, Xinyang 464000, China * Correspondence: [email protected] (E.J.); [email protected] (L.N.); [email protected] (A.S.); Tel.: +32-2-650-3681 (A.S.) Abstract: While contraceptive drugs have enabled many people to decide when they want to have a baby, more than 100 million unintended pregnancies each year in the world may indicate the contraceptive requirement of many people has not been well addressed yet. The vagina is a well- established and practical route for the delivery of various pharmacological molecules, including contraceptives. This review aims to present an overview of different contraceptive methods focusing on the vaginal route of delivery for contraceptives, including current developments, discussing the potentials and limitations of the modern methods, designs, and how well each method performs for delivering the contraceptives and preventing pregnancy.
    [Show full text]
  • Condoms & Lubricants
    Cornell Health Condoms & Lubricants Live Well to Condoms provide protection against both sexually Learn Well transmitted infections (STI) and pregnancy. Lubricants enhance condom use, as they help Web: prevent condom breakage and can make sexual health.cornell.edu activity more comfortable and pleasurable. There Phone (24/7): are many different kinds of condoms, and cost 607-255-5155 varies from brand to brand. If you have never used condoms, you may want to sample different Fax: brands to find the kind that suit you and your 607-255-0269 partner best. Like condoms, lubricants vary in Appointments: composition and consistency. Experiment to find Monday–Saturday what works best for you and your partner. * Check web for hours, External (sheath) condoms services, providers, Sometimes called “male” condoms, these sheaths and appointment are designed to snugly cover the outside of a information penis. Its tip provides a receptacle to collect Adding lube increases sensation nda also lessens the likelihood of condom breaks 110 Ho Plaza, semen after ejaculation. The sheaths may be made out of latex, polyurethane or animal Ithaca, NY Use condoms before they reach the expiration membrane. They come lubricated and non- 14853-3101 date (check package). Extreme temperatures, lubricated, with spermicide or without, or with a body heat and oil-based lubricants and creams texture or flavor. weaken latex. Do not store condoms in a wallet, Only polyurethane and latex condoms protect pocket or car glove box for more than a few days. * The descriptors against both STIs and pregnancy. (Condoms made Use only water-based or silicone-based lubricants “male” & “female” of animal membrane should be used only for birth with latex condoms.
    [Show full text]
  • Nuvaring (Vaginal Ring) Brown Health Services Patient Education Series
    NuvaRing (Vaginal Ring) Brown Health Services Patient Education Series You may choose any position that is comfortable for What is the NuvaRing? you: lying down, squatting, or standing with one leg The NuvaRing is a flexible, combined contraceptive propped on a chair. Hold the ring between your vaginal ring, used to prevent pregnancy. NuvaRing thumb and index finger and press the opposite sides contains a combination of progestin and estrogen, of the ring together. Gently push the folded ring two kinds of hormones. The ring is inserted in the into your vagina. vagina and left there for 3 weeks. You then remove it for a 1 week free period. After the ring is inserted, The exact position of the NuvaRing in the vagina is it releases a continuous low dose of hormones into not important for it to work. Most users do not feel your body. The Nuva Ring is 99.7% effective against the ring once it is in place. If you feel discomfort, pregnancy with perfect use, and 93% effective with the NuvaRing is probably not inserted far enough typical use. into your vagina. Just use your finger to gently push What’s in the NuvaRing? NuvaRing further into your vagina. There is no danger of Nuvaring being pushed too far up in the NuvaRing contains two hormones: estrogen and vagina or getting lost. Once inserted keep the progesterone. These hormones are synthetic Nuvaring in place for 3 weeks in a row. You do not versions of naturally occurring hormones. The ring need to remove the ring during sex.
    [Show full text]
  • Birth Control Failure Among Patients with Unwanted Pregnancies: 1982-1984
    Birth Control Failure Among Patients With Unwanted Pregnancies: 1982-1984 Aris M. Sophocles, Jr., MD, and Elisabeth M. Brozovich, PA-C Denver, Colorado Three hundred twenty-three patients who underwent abortion counseling between 1982 and 1984 were interviewed to determine the cause of birth control failure. Twenty-three percent employed no birth control and 27 percent used diaphragms, the majority either inconsistently or incorrectly. Twenty-two percent of the pregnancies were due to oral contraceptive- related failures; and the remainder were due to spermicide, condom, rhythm method, multiple method, and intrauterine device failures. Overall, fewer than one quarter of unwanted pregnancies among the pre­ dominantly white, middle-class population studied resulted from failure to obtain contraception, and only 19 percent represented technical failure de­ spite correct and consistent use. The majority (51 percent) occurred because of human error, ie, either incorrect or inconsistent use of available con­ traceptive modalities. These findings contrast sharply with those of a similar study performed between 1969 and 1974. At that time failure to obtain contraception ac­ counted for more than one half of the failures. Whereas the development and distribution of contraceptive technology was the challenge of the 1960s and the 1970s, reducing the number of birth control failures through anticipatory patient counseling is the challenge of the current decade. Familiarity with the effectiveness of available available to all age and socioeconomic groups in forms of contraception and an understanding of the United States. Despite this advance more than the reasons for birth control failure are central to 4.6 million pregnancies ended in abortion between the physician’s role as birth control counselor.
    [Show full text]
  • Natural Family Planning BRIAN A
    Natural Family Planning BRIAN A. SMOLEY, CDR, MC, USN, Camp Pendleton, California CHRISTA M. ROBINSON, LCDR, MC, USN, Naval Hospital Lemoore, Lemoore Station, California Natural family planning methods provide a unique option for committed couples. Advantages include the lack of medical adverse effects and the opportunity for participants to learn about reproduction. Modern methods of natural family planning involve observation of biologic markers to identify fertile days in a woman’s reproductive cycle. The timing of intercourse can be planned to achieve or avoid pregnancy based on the identified fertile period. The current evidence for effectiveness of natural family planning methods is limited to lower-quality clini- cal trials without control groups. Nevertheless, perfect use of these methods is reported to be at least 95 percent effective in preventing pregnancy. The effectiveness of typical use is 76 percent, which demonstrates that motivation and commitment to the method are essential for success. Depending on the method, couples can learn about natural family planning methods in a sin- gle office visit, through online instruction, or from certified instructors. (Am Fam Physician. 2012;86(10):924-928. Copyright © 2012 American Academy of Family Physicians.) ▲ See related editorials amily planning allows individuals abstinence rather than an artificial contra- at http://www.aafp.org/ and couples to anticipate and attain ceptive method.2-4 afp/2012/1115/od1.html and http://www.aafp. the desired number, spacing, and Although less than 1 percent of respon- 1 org/afp/2012/1115/od2. timing of children. Fertility aware- dents to the 2006-2008 National Survey html. ness methods of family planning use one or of Family Growth reported current use of F ▲ Patient information: more biologic markers to identify fertile days NFP, 19 percent reported prior use of the A handout on natural fam- of a woman’s reproductive cycle.
    [Show full text]
  • The Acceptability and Effectiveness of a Non-Hormonal
    The Acceptability & Effectiveness of a Non-Hormonal IUD for EC and Beyond… Interest in intrauterine contraception among seekers of EC and pregnancy testing Eleanor Bimla Schwarz, MD, MS Director, Women’s Health Services Research Unit Center for Research on Health Care Associate Professor of Medicine, Epidemiology, Obstetrics, Gynecology, and Reproductive Sciences University of Pittsburgh Relative Effectiveness of EC Options Pregnancies expected per 1000 women who had unprotected sex in the last week 12 10 8 6 4 2 0 Plan B pills Ella pills Paragard IUD Cleland K et al Hum Reprod 2012 Glasier AF et al Lancet 2010 ISSUE: Obesity and EC effectiveness If overweight (BMI=25-30) With Lng =2.5% (i.e. half as good) With UPA =1.1% If obese (BMI>30) With Lng =5.8% (approaches NO EFFECT) With UPA =2.6% (half as good) Glasier A et al Contraception 2011 For obese women, Plan B is essentially ISSUE: Prevalence of Obesity Among US women aged 20-40 years 56% are overweight (BMI >25) 74% of Black women 32% obese (BMI>30) 56% of Black women Flegal KM et al JAMA 2012 At our clinic, EC Pills are an… ECWIP Project To ensure that all women who seek emergency contraception (EC) or walk in pregnancy (WIP) testing are equipped with the knowledge and services they need to avoid unintended pregnancy. Walk in pregnancy tests? 45% had unprotected sex in the last week of those who didn’t want to become pregnant in next 6 months Prior use of EC is among the strongest predictors of requesting EC instead of WIP More women seek pregnancy testing than EC
    [Show full text]
  • Spermicides Brown Health Services Patient Education Series
    Spermicides Brown Health Services Patient Education Series Condoms containing spermicide are no longer What are spermicides? recommended as they do not appear to be more Spermicides are chemicals that stop sperm from effective than the condoms without spermicide. ​ moving. They are used to help prevent pregnancy. How is spermicide inserted? They are available as vaginal creams, films, foams, gels, suppositories, and tablets A diaphragm is a ● Inserting person should wash and dry hands contraceptive device that is always used with ● Spermicide has its greatest efficacy near the spermicide. The chemicals (nonoxynol-9 is the only cervical opening, deep in the vagina. one available in the US) , attack the sperm flagella ● Reapply with each penetrative act or if 60 and body, reducing motility. They may also act as minutes has passed since sexual intercourse barriers preventing the sperm from entering the began. cervical opening. ● For creams, foam, and gels: apply less than 1 hour prior to sexual intercourse. Spermicides may be used with condoms for ● Foams: shake canister vigorously, fill plastic contraception. In the hands of perfect users, applicator with spermicide, insert applicator pregnancy rates for spermicide and condom used deeply into vagina and depress plunger. It is together are less than 1%. In the hands of typical immediately active. users, pregnancy rates are 5%. ● Films, suppositories, and tablets: insert at least 15 minutes before sexual intercourse. Unfortunately, spermicides used alone for For films, fold the sheet in quarters, then half contraception have a relatively high failure rate. The again to ease insertion. Place deep in vagina, perfect use failure rate during the first year is 15%.
    [Show full text]
  • Etonogestrel/Ethinyl Estradiol Vaginal Ring)
    Patient Information NuvaRing® (NEW-vah-ring) (etonogestrel/ethinyl estradiol vaginal ring) What is the most important information I should know about NuvaRing? Do not use NuvaRing if you smoke cigarettes and are over 35 years old. Smoking increases your risk of serious cardiovascular side effects (heart and blood vessel problems) from combination hormonal contraceptives (CHCs), including death from heart attack, blood clots or stroke. This risk increases with age and the number of cigarettes you smoke. Hormonal birth control methods help to lower the chances of becoming pregnant. They do not protect against HIV infection (AIDS) and other sexually transmitted infections. What is NuvaRing? NuvaRing (NEW-vah-ring) is a flexible birth control vaginal ring used to prevent pregnancy. NuvaRing contains a combination of a progestin and estrogen, 2 kinds of female hormones. Birth control methods that contain both an estrogen and a progestin are called combination hormonal contraceptives (CHCs). How well does NuvaRing work? Your chance of getting pregnant depends on how well you follow the directions for using NuvaRing. The better you follow the directions, the less chance you have of getting pregnant. Based on the results of a US clinical study, approximately 1 to 3 women out of 100 women may get pregnant during the first year they use NuvaRing. The following chart shows the chance of getting pregnant for women who use different methods of birth control. Each box on the chart contains a list of birth control methods that are similar in effectiveness. The most effective methods are at the top of the chart. The box on the bottom of the chart shows the chance of getting pregnant for women who do not use birth control and are trying to get pregnant.
    [Show full text]
  • ESTROSTEP Fe (Norethindrone Acetate and Ethinyl Estradiol Tablets, USP and Ferrous Fumarate Tablets*) *Ferrous Fumarate Tablets Are Not USP for Dissolution and Assay
    ESTROSTEP Fe (Norethindrone Acetate and Ethinyl Estradiol Tablets, USP and Ferrous Fumarate Tablets*) *Ferrous fumarate tablets are not USP for dissolution and assay. ESTROSTEP® Fe (Each white triangular tablet contains 1 mg norethindrone acetate and 20 mcg ethinyl estradiol; each white square tablet contains 1 mg norethindrone acetate and 30 mcg ethinyl estradiol; each white round tablet contains 1 mg norethindrone acetate and 35 mcg ethinyl estradiol; each brown tablet contains 75 mg ferrous fumarate.) Patients should be counseled that this product does not protect against HIV infection (AIDS) and other sexually transmitted diseases. DESCRIPTION ESTROSTEP® Fe is a graduated estrophasic oral contraceptive providing estrogen in a graduated sequence over a 21-day period with a constant dose of progestogen. ESTROSTEP Fe provides for a continuous dosage regimen consisting of 21 oral contraceptive tablets and seven ferrous fumarate tablets. The ferrous fumarate tablets are present to facilitate ease of drug administration via a 28-day regimen, are non-hormonal, and do not serve any therapeutic purpose. Each white triangle-shaped tablet contains 1 mg norethindrone acetate [(17 alpha)-17­ (acetyloxy)-19-norpregna-4-en-20-yn-3-one] and 20 mcg ethinyl estradiol [(17 alpha)-19­ norpregna-1,3,5(10)-trien-20-yne-3,17-diol]; each white square-shaped tablet contains 1 mg norethindrone acetate and 30 mcg ethinyl estradiol; and each white round tablet contains 1 mg norethindrone acetate and 35 mcg ethinyl estradiol. Each tablet also contains calcium stearate; lactose; microcrystalline cellulose; and starch. The structural formulas are as follows: Each brown tablet contains ferrous fumarate, mannitol, povidone, microcrystalline cellulose, sodium starch glycolate, magnesium stearate, sucralose and spearmint flavor.
    [Show full text]
  • Spermicides and Diaphragms
    CHAPTER 16 Spermicides and Diaphragms Spermicides Key Points for Providers and Clients y Spermicides are placed deep in the vagina shortly before sex. y Require correct use with every act of sex for greatest effectiveness. y One of the least effective contraceptive methods. y Can be used as a primary method or as a backup method. 16 What Are Spermicides? y Sperm-killing substances inserted deep in the vagina, near the cervix, before sex. − Nonoxynol-9 is most widely used. − Others include benzalkonium chloride, chlorhexidine, menfegol, octoxynol-9, and sodium docusate. y Available in foaming tablets, melting or foaming suppositories, cans of Spermicides and Diaphragms pressurized foam, melting film, jelly, and cream. − Jellies, creams, and foam from cans can be used alone, with a diaphragm, or with condoms. − Films, suppositories, foaming tablets, or foaming suppositories can be used alone or with condoms. y Work by causing the membrane of sperm cells to break, killing them or slowing their movement. This keeps sperm from meeting an egg. Spermicides 271 JHU HBk18 - Chapter 16.indd 271 1/26/18 09:52 How Effective? Effectiveness depends on the user: Risk of pregnancy is greatest More when spermicides are not used with every act of sex. eective y One of the least effective family planning methods. y As commonly used, about 21 pregnancies per 100 women using spermicides over the first year. This means that 79 of every 100 women using spermicides will not become pregnant. y When used correctly with every act of sex, about 16 pregnancies per 100 women using spermicides over the first year.
    [Show full text]