Usually white papules may have a slightly yellow

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Usually white papules, may have a slightly yellow color, but inflamed are more red Contraceptives Estrogen Too Much- Nausea, Bloating, HTN, Breast Tenderness, Edema, Dysmenorrhea, Chloasma , CVA, DVT, PE, Telangiectasia, Hepatic disease, Breast Size Too Little (PMP)- Early or midcycle BTB, Spotting, atrophic vaginitis Progesterone Too Much- Appetite/Weight Gain, Fatigue, Changes in Mood, Breast tenderness Transient HTN, Depression, Libido, Relaxes muscles Varicosities Too Little- Late BTB, Amenorrhea Excess Androgenic- Hirsutism, Acne, Oily skin, Edema, Libido Abstinence - 100% effective Barrier Methods- Block sperm from entering the female reproductive tract Diaphragm, cervical cap, sponge, and female condom Often used w/ a spermicide to immobilize sperm Hormone free (no side effects), very safe/ reversible, as needed use Reusable- diaphragm and cervical cap (~75$) Spermicide ~20$ (~10 applications)- bad taste Sponge- 10-15$ for a pack of 3 Disadvantages- failure rate No STI Protection- diaphragm, cervical cap, sponge Must be within reach within a few hours of coitus No hormonal benefit, must be used w/ spermicide Nonoxynol-9= can cause irritation, which can HIV risk Diaphragm & Cervical Cap refitted after pregnancy or delivery 12% Male Condoms - only protection against STI (Actual effectiveness ~82%) Can’t be used w/petroleum, oil-based lubrication (latex deteriorates)
21% Female Condoms - only protection against STI (Actual effectiveness ~79%) Lines the vagina, covers the cervix, and shields the introitus Can be used w/ petroleum (plastic film) 18% Diaphragm - Dome-shaped, silicone cup inserted into vagina hours before sex Needs Spermicide (21%) to work effectively, new dose every time Sizing- comfortable between posterior surface of symphysis pubis to posterior fornix Press against the lateral vaginal walls, hollowed size covering cervix Spermicide goes in dome (1Tb) Refitted- birth, miscarriage, abortion, +/- 10 lb., pelvic surgery, frequent UTI Placed < 2 hours prior to sex (3-6 hours needs another application of spermicide) Leave in for 6 hours post coitus and no > 24 hours Wash W/ Soap & Water and do not share Not used during menses/>24 hours infection risk & not used w/ oil-based products Lasts ~ 2 years, check for holes regularly & May Incidence of CIN Relative CI- silicone allergy, significant pelvic relaxation (prolapse, cystocele, etc.) Frequent UTI, HIV (unless w/condom), difficult insertion, toxic shock history Motivation near time of coitus, STI risk *Adolescents typically are not good candidates for this, cap, sponge ( Motivation) C/I- spermicide allergy, history of TSS, history of frequent UTI Abnormal uterine anatomy, full-term pregnancy w/in 6 weeks S.E.- Recurrent bladder infections, uncomfortable=improper size), yeast infections 18% Cervical Cap - silicone cup (sailor cap) holds spermicide against cervix Secure than the diaphragm, not for women who don’t want pregnancy OB history nulligravida- small, abortion/C-section-medium, vaginal delivery- large Inserted up to 6 hours prior and left in for 6 hours’ post Can be left in for 48 hours

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