11 - Gynae - Contraception - Natural Contraception, Male and Female Sterilisation Flashcards
Natural contraception
? reliable than most methods + offers no ??? protection + only ? women not concerned by ?
Lactation -> has a ?
contraceptive role in the ?world
less
STI
monogamous
preg
major
developing
Natural contraception
The ? method -> avoids the ?
period around ?
Withdrawal -> involves removal of the ? just before ?
- not recommended because ? can be released before ?
rhythm
fertile
ovulation
penis
ejaculation
sperm
orgasm
Female Sterilisation
In the UK, ?% of couples rely on female and ?% on male sterilisation for contraception
Most common technique is ?
? clips (Filshie clip) - done ?
and completely ? the lumen - normally under a ??
10% 20% fallopian tube laparoscopically occlude GA
Female Sterilisation - sometimes done with ?? - rate of regret ? here
-alternative = ? sterilisation - microinserts into proximal part of each ? lumen - done ? and confirmed ?m later with hysterosalpingogram
both have failure rate of ?%
CS
higher
transcervical
tubal
hysteroscopically
3m
0.5%
Male Sterilisation
? is ? effective than female sterilisation -> ? and removal of segment of
the ? ? - preventing ? of sperm
Can be done under ??
Sterility is not ? until ? from ?
semen analysis - may take up to ? months
vasectomy more ligation vas deferens release LA
confirmed
azoospermia
two
6m
Male Sterilisation- complx
-?, postop ?, infection, ? pain
failure
haematomas
chronic
Male Sterilisation -
? conception following successful ? is often prevented by ? ? formation which restricts ? - such sperm can be ? and used during an insemination or ??? cycle
Surgical sperm ? followed by ??? is an alternative to vasectomy ?
natural reversal antisperm antibody motility washed IVf
retrieval
IVF
reversal
