Chapter 10 Flashcards
Social Perspectives
Contemporary Issues:
- planning for wanted children
- physical health of mother
- insurance coverage of contraceptives
- population growth
- cultural gender-rule expectations
- wide diversity of views among cultures and religious leaders
Sharing Responsibility
How to share responsibility:
- ask about birth control before intercourse (short-term)
- read and discuss options together (long-term)
- share expenses
- attend a class or clinic together
Choosing a Birth Control Method
- Consider effectiveness and cost
- Consider ease of use and side effects
- Characteristics of ineffective use: guilt, negative attitudes about sex, failure rate (consistent and typical use)
Birth Control: Effective Methods
- Abstinence (no touching)
- Outercourse ( all but penile-vaginal intercourse)
- Hormone-based contraception
- Barrier-based contraception
- Emergency contraception
- Fertility awareness contraception
- Sterilization
Historical Perspectives
Evidence of contraception since the beginning of recorded history
U.S. contraceptive efforts:
- 1800’s Comstock Laws: federal law, illegal to distribute anything that was obscene
- 1915 Margaret Sanger’s: wealthy, thought women’s health in the U.S. was backwards. Released thousands of diaphragms
- U.S. Supreme Court rulings; Griswold vs. Connecticut, Eisenstadt vs. Baird: 1965 states could use contraception for only married couples, 1964 not at all; 1972 it was big for contraception
Failure Rate
Number of women out of 100 who become pregnant after 1 year after using a particular contraceptive
Backup Methods
Contraceptive methods used simultaneously with another method to support it
Hormone-Based Contraceptives
- Oral Contraceptives
- Vaginal Ring
- Transdermal Patch
- Injected Contraception
- Contraceptive Implant
4 Types of Oral Contraceptives
- Constant-Dose Combination Pill
- Triphasic Pill
- Seasonale Pill
- Progestin-Only Pill
Outercourse
Sexual intimacy without penile-vaginal intercourse
Constant-Dose Combination Pill
Birth control pill that contains a constant daily dose of estrogen
- 99% effective
Triphasic Pill
Birth control pill that varies the dosages of estrogen and progestin during the menstrual cycle (change up 3 times)
- 99% effective
Seasonale Pill
Birth control pill that reduces menstrual periods to four times a year (13 to 4); this can be harsh for women
- 99% effective
Progestin-Only Pill
Contraceptive pill that contains a small dose of progestin and no estrogen (not as effective)
- 92% effective
Vaginal Ring and Transdermal Patch
- Hold estrogen and progestin
- Called NuvaRing, and Ortho Evra
- Hormones go into blood stream to prevent pregnancy
- Less side effects using them