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A multidisciplinary approach to assist the woman in

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A multidisciplinary approach to assist the woman in choosing an appropriate contraceptive methodIdeally the method should be safe, readily available, economical, acceptable, and simple to useThe safety of a method depends on a woman’s medical history
Contraception—cont’d MethodsCoitus interrupts (withdrawal)Fertility awareness methods (FAMs)Rely on avoidance of intercourse during fertile periodsFAMs combine charting menstrual cycle with abstinence or other contraceptive methods
Contraception—cont’d MethodsFertility awareness methods (FAMs) Natural family planning (period abstinence)Calendar rhythm methodStandard days method: is a modification of the calendar methods, using smart phone applications, cycle beads.Basal body temperature method: Need to be taking before getting out of bed. Regular 36.2- 36.3 C during menses and 5-7 after. T HEN DROP 0.5 C AT THE TIME OF OVULATION AND INCREASE 0.4-0.6 C DURING LUTEAL PHASE. Cervical mucus ovulation-detection method
Fig. 7-2. Cervical Mucus Characteristics
Contraception—cont’d MethodsFertility awareness methods (FAMs)Symptothermal method: combine the basal body temperature with the cervical mucus.Predictor test for ovulationTwo Day method: It is base on monitoring the cervical secretion. Women need to ask herself 2 questions: “Did I note secretions today?” and “Did I note secretions yesterday?”. If the answer is yes: she should avoid coitus or use back up methods.Lactation amenorrhea method: When the infant suckles at the mother breast Prolactin Hormone is release which inhibits estrogen production andsuppress ovulation and the return of menses.
Contraception—cont’d Barrier methods SpermicidesCondoms, male (STI protection)Vaginal sheath (STI protection)Diaphragm: Left in place for 6 Hrs after intercourse and must instill spermicide in vagina (not removing Diaphragm) for repeated intercourse. Fit of diaphragm: Flexible dome shaped cup constructed of latex rubber to prevent pregnancy. Insert before vaginal intercourse and therefore does not interrupt sexual activity ; provides immediate protectionsAlways check for holes, have diaphragm refitted if weight gain exceeds 20 lbs. avoid oil based lubricants (destroys the latex)Toxic shock syndrome: if using tampons , must remove every four hours. Cervical capFit of cervical capContraceptive sponge: contains N-9 spermicide, protect for 24 Hrs, and need to be left in place for 6Hrs after intercourse.
Fig. 7-11. Spermicides.
Fig. 7-12. A,Mechanical barriers. Clockwise from top:female condom, cervical cap, diaphragm, types of male condoms, vaginal ring (hormonal) (center).B,Contraceptive sponge.
Fig. 7-4. Squatting Fig. 7-5. Leg-Up Method
Fig. 7-6. Chair Method Fig. 7-7. Reclining
Fig. 7-8. Preparation of Diaphragm
Fig. 7-9. Insertion of Diaphragm
Fig. 7-10. Diaphragm InsertionFig. 7-11. Diaphragm Insertion
Fig. 7-12. Diaphragm InsertionFig. 7-13. Diaphragm Insertion
Fig. 7-14. Cervical Cap InsertionFig. 7-15. Cervical Cap Insertion
Fig. 7-16. Cervical Cap Insertion

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Term
Fall
Professor
Nola
Tags
dysmenorrhea

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