MBMH contraception Lecture

MBMH contraception Lecture - Questions to Ask Before...

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Questions to Ask Before Choosing A Method Does it offer STI protection? How does it work to prevent pregnancy? Does this method fit with my values and morals? How effective is the method? How do I use this method? What are the advantages of this method? What are the disadvantages of this method? How much does it cost? Will my insurance cover it? Am I comfortable enough with my body to use it? Does it meet my needs?
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Contraceptive Effectiveness Rates* Perfect Use Typical Use Male Condom 98% 85% Female Condom 95% 79% Spermicide alone (Foam, Creams, Jellies Suppositories, Film and Gels 88% 71% Sponge 91% 89% 99% 95% Diaphragm 94% 84% Cervical Cap (prentif and femcap) 91% 80% Lea’s Shield 94 n/a Birth Control Pill 99.7% 92% Depo Provera 99.7% 97% The Ortho-Evra Patch 99.7% 92 The NuvaRing 99.7% 92 Norplant and Norplant-2 99.95% 99.95% Fertility Awareness 91–99% 75% I.U.D. 99.4–99.9% 99.2–99.9% Nothing 15% 15%
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Prescription Diaphragm Cervical Cap FemCap Lea’s Shield ® Barrier Contraception Over the Counter Female Condom Male Condom
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Advantages Useful alternatives for people who want to avoid hormones Some don’t need prescription Some offer limited protection against STDs Only have to think about when having sex Disadvantages Not as effective as hormonal methods Efficacy is dependent on consistent and correct use Some require a fitting by clinician All female barrier methods require insertion and removal Most methods require spermicide All prescription methods associated with increased risk of UTI and TSS Barrier Methods
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Male Condom Advantages : Provides more protection against STDs than other methods Great pregnancy protection with a spermicide Doesn’t require a prescription Can be used with other methods Inexpensive and widely available Disadvantages : Sheep membrane less effective than latex and polyurethane One per act Can break or slip May decrease pleasure May interfere with spontaneity Requires cooperation of male partner STD = Sexually Transmitted Disease Three Types: Latex Polyurethane Sheep Membrane
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The Latex Condom Advantages: Highly effective against most STDs Less breakage than other condoms Disadvantages: Can’t be used if allergic to latex Can’t use with oil-based lubricants Can be degraded by heat, light, and air
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The Polyurethane Condom Advantages vs. Latex Condoms Safe for people latex allergy Thinner, odorless, colorless, and nonallergenic More resistant to heat and air May increase sensation of heat Safe with any lubricant Disadvantages vs. Latex Condoms May not be as effective in protecting against STDs More breakage Nearly double the price
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Figure 13.1 As the condom is rolled onto an erect penis, space should be left in the top of the condom so that the force of the ejaculate does not break the condom.
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MBMH contraception Lecture - Questions to Ask Before...

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