MOA: Releases
Progesterone, Prevents
ovulation, Thickens cervical
mucus preventing spern
reaching the egg, Thins
lining of uterus prevents
egg mplantation
Advantages: Lasts 12 weeks
(depo-provera) or 8 weeks
(Noristerat), Protects against
uterine cancer & PID
Disavantages: Periods may stop,
be irregular or longer (takes
time for fertility to return),
weight gain, may suffer from
headaches, acne,mmood
changes, breast tenderness
Comments: Cannot be removed
from body once administered.
(side effects will continue as
long as injection lasts)
Advantages: Lasts 3 years.
fertility returns to normal
once implat removed
Disavantages: Periods may stop,
be irregular or longer (takes time
for fertility to return), weight gain,
may suffer from headaches,
acne,mmood changes, breast
tenderness
Procedure needed to
fit/remove, tenderness,
brusing around sight. Some
medicines may stop it
working
Contraceptive
Vaginal Ring
Contraceptive
Patch
Pill
Combined
Pill (COC)
Contains oestrogen
and progesterone
99% effective if
taken correctly
Can be effected
by D+ & V+
prevents ovulaion
contraindications
smoking
High BP
Strong Fmily history of
Breast cancer
FH of clotting
problems
Progeserone
Pill (POP)
Condom
Male Condom
Barrier Method
98% effective
Protects against STIs
Putting on can involve
interruption of sex
Can split/rupture
Female Condom
95% Effective
Barrier method
Good for those wishing
to avoid taking hormones
Putting them on
involves intteruption
of intercourse
Condom can
be pushed
aside
Offers protection
agaisnt STIs
Sterilisation
Female Sterilisation
(Tubal Occlusion)
Effectiveness:
Failure rate 1/200
MOA: Fallopian tubes
cut, sealed/blocked,
prevents egg and
sperm meeting.
Advantages: Doesnt
interrupt sex, No
long/short term side
effects, periods
uuunaffected
Disadvantage: Small
increased risk of
ectopic pregnanc if
sterilisation fails, GA
needed, PERMENANT.
Male Sterilisation
(Vasectomy)
Failure rate:
1/2000
MOA: Vas deferens
cut/sealed/blocked
Advantages: Doesnt
interrupt sex, No
long/short term side
effects
Disadvantages:
Contraception must be
used until semen tests
show no sperm resent.
(can take 2 months),
may experience some
testicular pain
Permenant, shouldnt be
chosen if any doubt.
Important to rest/ avoid
strenuous activity post op.
Intrauterine
Intrauterine System (IUS)
Effectiveness: >99%
effective. 1/100
pregnancies per 5 years
MOA: T-shaped plastic deivce
that releases progesterone
causing stopping of ovulation,
Thickens cervical mucus
preventing spern reaching the
egg, Thins lining of uterus
prevents egg mplantation
Advantages: Lasts 5 years (can be
removed any time), fertility
returns to normal once removed,
periods become
lighter/shorter/less painful
Disadvantages: Irregular
bleeding/spotting 1st 6 months, acne,
headaches, breast tenderness, risk of
infection 1st 20 days, risk of ovarian
cysts
Fitted after 45 can remain
in until post menapause,
women taught to check
IUS in place,
Intrauterine Device (IUD)
COIL
Effectiveness: >99% effective.
1/100 pregnancies per 1 year
Fitted after 40 can remain in
until post menapause, women
taught to check IUD in place,
Advantages: Lasts 5-10 years (can
be removed any time), fertility
returns to normal once removed
Disadvantages: Not
suitable for those at risk of
STIs, Periods may be
heavier/longer more
painful, risk of ectopic
pregnancy, risk of infection
1st 20 days
Small plastic & copper
device acts as a barrier
stops sperm reaching the
egg, stops egg implanting