Birth Control_Hutchinson

Birth Control_Hutchinson - Contraception Choices...

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Unformatted text preview: Contraception Choices Contraception Choices Adolescent Clinic NNMC Objective Objective Discuss the different options Important counseling points Review by playing a game Method Options Options s s s s Abstinence Timing schemes Barrier methods Hormonal preparations Typical Use Perfect Use Implant 0.09 0.09 Injection­combo 0.1 0.1 Injection­ progestin IUD 0.3 0.3 0.1­2.0 0.1­1.5 OCP­combo 2.5­6.0 0.1 OCP­progestin 3.0­10.0 0.5 Patch ­ 0.1 Vaginal ring ­ 0.65 Male condom 12.0 3.0 Diaphragm/Cerv cap Withdrawal 16.0­18.0 6.0 19.0 4.0 Periodic abstinence Female condom ­ 2.0­9.0 21.0­26.0 5.0 Spermicides 40.0 6.0 No method 85.0 85.0 Abstinence/Timing Abstinence/Timing s s While some groups encourage “The rhythm method” as a form of birth control we do not recommend it Temperature, cervical mucus and record keeping are needed to do it right. Barrier Barrier 2nd most popular s STD protection s Inexpensive s Failure rate: 3­18% s Proper wear important s Hormonal Hormonal s Combination OCPs – Monophasic – Biphasic – Triphasic – Failure rate 0.1% (2­6%) s Progestin only – Failure rate 0.5% (3­10%) Depo­Provera, DMPA Depo­Provera, DMPA s Depo medroxyprogesterone acetate – Prevents egg release – Failure rate: 0.3% – Shot every 3 months The Patch The Patch s s s s s Ortho Evra Combination preparation 20% bleeding in first cycle Change patch once per week May not be as effective if >90kg Vaginal Ring Vaginal Ring s s s s NuvaRing Combination preparation Worn for 3 weeks at a time Low breakthrough bleeding rate Vaginal Ring Vaginal Ring s NuvaRing – Low failure rate – Can wear during menses – Can wear during intercourse – Can remove for intercourse – Does not have to be fitted – Vaginal position does not matter – No increased risk of infection Choosing a Method Choosing a Method What myths have you heard? What side effects have you heard about? Common Myths Common Myths 2/3 women believe OCPs unsafe s Causes cancer s Causes heart disease s Leads to infertility s Body needs break from OCPs s s ALL FALSE Advantages Advantages Less dysmenorrhea s Shorter, lighter menses s Less Mittelschmerz s Acne & hirsutism improved s Prevents ovarian & endometrial cancer s Reduction in PID s Possible side effects Possible side effects s s s s s s s ESTROGEN PROGESTERONE s Androgenic Nausea/vomiting – Oily skin Edema/leg cramps – Hirsutism Bloating – Acne Vascular headaches – Increased appetite s Mastalgia Clear vaginal d/c s Cystic breast changes Inreased breast size s Bloating Chloasma s Depression Do not use if: Do not use if: s s s You have had a blood clot You have had cancer You have liver disease s s s You have high blood pressure You are on seizure medicine You have bad migraines If you miss a pill If you miss a pill s Missed pills 2 per day until caught up s Condoms if miss >2 pills per month s Headaches Headaches s Contact us if you get frequent headaches or headaches during the reminder pills Some things that can Interact Some things that can Interact Seizure medicine s St. John’s Wort s Rifampin, griseofulvin s Vitamin C s – Irregular bleeding Time to Play…… Time to Play…… $100 Which is not sexual activity A. B. Oral Sex Intercourse C. D. Adultery Coveting 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100 Which is not sexual activity A. B. Oral Sex Intercourse C. D. Adultery Coveting 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500 What is the best way to prevent pregnancy A. B. Monogamy Abstinence C. D. Withdrawal Rhythm Method 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500 What is the best way to prevent pregnancy A. B. Monogamy Abstinence C. D. Withdrawal Rhythm Method 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000 Most OCP side effects resolve by A. 1 month C. 1 year 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 B. 3 months D. Never 1,000 500 100 $1,000 Most OCP side effect resolve by A. 1 month C. 1 year 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 B. 3 months D. Never 1,000 500 100 $5000 Depo causes this side effect, and thus a 2 year use recommendation A. B. Weight gain No period C. D. Thin bones Acne 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $5000 Depo causes this side effect, and thus a 2 year use recommendation A. B. Weight gain No period C. D. Thin bones Acne 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $10,000 The easiest method of birth control to keep private A. B. The Pill The Patch C. D. The Shot The Ring 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $10,000 The easiest method of birth control to keep private A. B. The Pill The Patch C. D. The Shot The Ring 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $25,000 How often does a patient need Depo Provera A. B. Monthly 6 months C. D. 3 months Annually 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $25,000 How often does a patient need Depo Provera A. B. Monthly 6 months C. D. 3 months Annually 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $50,000 $50,000 What side effect of the Patch is in the news A. B. Rashes Falling off C. D. Pregnancies Clots 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $50,000 $50,000 What side effect of the Patch is in the news A. B. Rashes Falling off C. D. Pregnancies Clots 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100,000 What percent of teens 15­19 get pregnant each year A. B. 1% 10% C. D. 5% 25% 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $100,000 What percent of teens 15­19 get pregnant each year A. B. 1% 10% C. D. 5% 25% 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $250,000 1,000,000 1,000,000 500,000 250,000 Which item does not decrease STIs? A. B. Condom Diaphragm C. D. Dental dam Female condom 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $250,000 1,000,000 1,000,000 500,000 250,000 Which item does not decrease STIs? A. B. Condom Diaphragm C. D. Dental dam Female condom 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500,000 What percent of teens not using birth control become pregnant in a year A. B. 15% 85% C. D. 50% 99% 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $500,000 What percent of teens not using birth control become pregnant in a year A. B. 15% 85% C. D. 50% 99% 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000,000 What percentage of 10th grade girls have had sex A. B. 20 50 C. D. 35 67 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 $1,000,000 What percentage of 10th grade girls have had sex A. B. 20 50 C. D. 35 67 1,000,000 1,000,000 500,000 250,000 100,000 50,000 25,000 10,000 5,000 1,000 500 100 Conclusion Conclusion s We are here to help you in any way we can s Please feel free to contact us with any questions or concerns you have Questions? Questions? ...
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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