Lecture 28 _ Contraception

Lecture 28 _ Contraception - L ecture 28 Contraception - -...

Info iconThis preview shows pages 1–2. Sign up to view the full content.

View Full Document Right Arrow Icon
Lecture 28 – Contraception - - The contraceptive trend has not change much over the years o Oral Contraceptive > Sterilization > Condom > Periodic Abstinence > Diaphragm > IUD - Contraceptive efficacy o Tubal ligation vasectomy, IUD, Implanon > Pills, Ring, Patch, Depo-Provera > Condoms, diaphragm, sponge, fertility awareness > withdrawal, spermicide alone Inrauterine Device (IUD) - First one in 1920s (pebbles) - Associated with pelvic inflammatory disease (the recent ones have less incidents) - Almost abandoned Paragrad - Copper wound IUD - Mild endometrial inflammation - Lasts up to 12 years - Hormone free Mirena - MOA: Levonorgestrel - Thickens cervical mucus - Impairs sperm transport - Mild endometrial inflammation & atrophy - ↓↓ menstrual bleeding Lasts up to 5 years Oral Contraceptives “The Pill” - Estrogen (ethinyl estradiol) 1938 - Progestin (norethindrone) synthesized from testosterone modifications 1951 **tons of progestins!! Androgenicity of progestin Low Norgestimate Gestodene Desogestrel Drospirenone - Why 28 days (marketed that way!) New Triphasic Dosing - Patent expired; not more effective
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 2
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 3

Lecture 28 _ Contraception - L ecture 28 Contraception - -...

This preview shows document pages 1 - 2. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online