contraception - Contraception David Blair Toub M.D Dept of...

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Unformatted text preview: Contraception David Blair Toub, M.D. Dept. of Obstetrics and Gynecology Pennsylvania Hospital Methods ■ Oral Contraceptive Pills (OCP’s) ■ Depo-Provera, Norplant ■ Intrauterine Device (IUD) ■ Male / Female Condom ■ Diaphragm ■ Emergency Contraception (EC) Efficacy (modified from trussell, et. al 1990) Spermicides Comb. OCP's Prog. OCP's Diaphragm Condom Depo- Provera Cu-T380A Norplant TL 3 0.1 0.5 6 2 0.3 0.8 0.04 0.2 1 2 3 4 5 6 Spermicides Comb. OCP's Prog. OCP's Diaphragm Condom Depo- Provera Cu-T380A Norplant TL Failure Rate (Percent) During First Year of Use Hormonal Contraception: Combination OCP’s ■ Contain Synthetic Estrogen/Progestin ■ Modern E 2 Dosage 50 Mcg ≤ ■ Despite Diversity, Side Effects and Efficacies Similar ■ Requires Patient Compliance ■ May Be Monophasic or Triphasic Combination OCP’s: Mechanism of Action ■ Suppresses LH / FSH Release (E 2 FSH, P LH) ■ Progestin Thickens Cervical Mucus and Alters Endometrium ■ Major Effect Is Anovulation and Impairment of Sperm Transport and Oöcyte Implantation Combination OCP’s:...
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contraception - Contraception David Blair Toub M.D Dept of...

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