recent posts

CONTRACEPTION

image


Classification of Contraceptive Methods



Intrauterine device (IUD)

Absolute contraindications
  1. current pregnancy
  2. undiagnosed vaginal bleeding
  3. acute or chronic PID
  4. suspected gynecologic malignancy
Relative contraindications
  1. prior ectopic pregnancy
  2. menorrhagia, dysmenorrhea
  3. congenital abnormalities of uterus or fibroids
  4. valvular heart disease
Side effects
  1. pregnancy: ectopic or septic abortion
  2. increased blood loss and duration of menses
  3. increased risk of PID especially in nulliparous women
  4. dysmenorrhea
  5. expulsion (5% in the first year)
  6. uterine wall perforation (1/5000)
Oral Contraceptives

Absolute contraindications
  1. current pregnancy
  2. undiagnosed vaginal bleeding
  3. cardiovascular disorders
    • thromboembolic events
    • cerebrovascular disease
    • coronary artery disease
    • moderate-severe hypertension
  4. estrogen-dependent tumours
    • breast
    • uterus
    • liver
  5. impaired liver function
  6. congenital hyperlipidemia
  7. age > 35 and smoking
  8. obstructive jaundice in pregnancy
  9. Wilson disease

  • drug interactions can occur (can decrease efficacy, e.g. antibiotics necessitate backup method of birth control)
    see CPS for individual drugs

Health benefits
  1. reduces dysmenorrhea, anemia, and helps regulate cycles
  2. reduces likelihood of developing benign breast disease and ovarian cysts
  3. combined estrogen and progesterone OCP substantially reduces risk of ovarian carcinoma
  4. increases cervical mucous which decreases the risk of STDs

Side Effects of the Oral Contraceptive Pill

 

CONTRACEPTION CONTRACEPTION Reviewed by Radiology Madeeasy on August 23, 2010 Rating: 5
Powered by Blogger.