Contraception

Description

Mind Map on Contraception, created by spencer.brogan on 02/23/2015.
spencer.brogan
Mind Map by spencer.brogan, updated more than 1 year ago
spencer.brogan
Created by spencer.brogan about 11 years ago
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Resource summary

Contraception
  1. Contraceptive Injection
    1. Effectiveness: >99%. (<1 in 100 pregnancys/year)
      1. MOA: Releases Progesterone, Prevents ovulation, Thickens cervical mucus preventing spern reaching the egg, Thins lining of uterus prevents egg mplantation
        1. Advantages: Lasts 12 weeks (depo-provera) or 8 weeks (Noristerat), Protects against uterine cancer & PID
          1. 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
            1. Comments: Cannot be removed from body once administered. (side effects will continue as long as injection lasts)
            2. Implant
              1. Effectiveness: >99%. (<1 in 1000 pregnancys/year)
                1. MOA: Inserted subcutaneously, Releases Progesterone, Prevents ovulation, Thickens cervical mucus preventing spern reaching the egg, Thins lining of uterus prevents egg mplantation
                  1. Advantages: Lasts 3 years. fertility returns to normal once implat removed
                    1. 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
                      1. Procedure needed to fit/remove, tenderness, brusing around sight. Some medicines may stop it working
                      2. Contraceptive Vaginal Ring
                        1. Contraceptive Patch
                          1. Pill
                            1. Combined Pill (COC)
                              1. Contains oestrogen and progesterone
                                1. 99% effective if taken correctly
                                  1. Can be effected by D+ & V+
                                  2. prevents ovulaion
                                    1. contraindications
                                      1. smoking
                                        1. High BP
                                          1. Strong Fmily history of Breast cancer
                                            1. FH of clotting problems
                                          2. Progeserone Pill (POP)
                                          3. Condom
                                            1. Male Condom
                                              1. Barrier Method
                                                1. 98% effective
                                                  1. Protects against STIs
                                                    1. Putting on can involve interruption of sex
                                                      1. Can split/rupture
                                                      2. Female Condom
                                                        1. 95% Effective
                                                          1. Barrier method
                                                            1. Good for those wishing to avoid taking hormones
                                                              1. Putting them on involves intteruption of intercourse
                                                                1. Condom can be pushed aside
                                                                  1. Offers protection agaisnt STIs
                                                                2. Sterilisation
                                                                  1. Female Sterilisation (Tubal Occlusion)
                                                                    1. Effectiveness: Failure rate 1/200
                                                                      1. MOA: Fallopian tubes cut, sealed/blocked, prevents egg and sperm meeting.
                                                                        1. Advantages: Doesnt interrupt sex, No long/short term side effects, periods uuunaffected
                                                                          1. Disadvantage: Small increased risk of ectopic pregnanc if sterilisation fails, GA needed, PERMENANT.
                                                                          2. Male Sterilisation (Vasectomy)
                                                                            1. Failure rate: 1/2000
                                                                              1. MOA: Vas deferens cut/sealed/blocked
                                                                                1. Advantages: Doesnt interrupt sex, No long/short term side effects
                                                                                  1. Disadvantages: Contraception must be used until semen tests show no sperm resent. (can take 2 months), may experience some testicular pain
                                                                                    1. Permenant, shouldnt be chosen if any doubt. Important to rest/ avoid strenuous activity post op.
                                                                                  2. Intrauterine
                                                                                    1. Intrauterine System (IUS)
                                                                                      1. Effectiveness: >99% effective. 1/100 pregnancies per 5 years
                                                                                        1. 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
                                                                                          1. Advantages: Lasts 5 years (can be removed any time), fertility returns to normal once removed, periods become lighter/shorter/less painful
                                                                                            1. Disadvantages: Irregular bleeding/spotting 1st 6 months, acne, headaches, breast tenderness, risk of infection 1st 20 days, risk of ovarian cysts
                                                                                              1. Fitted after 45 can remain in until post menapause, women taught to check IUS in place,
                                                                                              2. Intrauterine Device (IUD) COIL
                                                                                                1. Effectiveness: >99% effective. 1/100 pregnancies per 1 year
                                                                                                  1. Fitted after 40 can remain in until post menapause, women taught to check IUD in place,
                                                                                                    1. Advantages: Lasts 5-10 years (can be removed any time), fertility returns to normal once removed
                                                                                                      1. 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
                                                                                                        1. Small plastic & copper device acts as a barrier stops sperm reaching the egg, stops egg implanting
                                                                                                      2. Diaphragm/Cap with spermicide
                                                                                                        1. Natural Family Planning
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