contraception and STIs Flashcards
contraception
contraception - measures that prevent a women from having an unwanted pregnancy
abstinence
- abstinence is not having sexual intercourse at all
- most effective form of birth control
- prevents unwanted pregnancy and transmission of STIs
detection of ovulation
some methods of birth control rely on determining the time of ovulation to abstain from sexual intercourse on the days when fertilisation is most likely
- rhythm method
- temperature method
- mucus method
- symptothermal method
rhythm method
- if a female has a regular 28 day menstrual cycle ovulation is likely to occur on the 14th day
- the egg can survive for only two days without fertilisation and sperm can survive for four days at most in female
- therefore, sexual intercourse should not occur between four days before and four days after ovulation
temperature method
- a female can take her body temperature each morning to determine the time of ovulation more accurately
- ovulation is accompanied by a sharp drop in body temperature and then a rise
mucus method
- ovulation is predicted by observing a change in the mucus of the cervix
- around ovulation, mucus will be clear, stretchy and slippery (like raw egg white)
symptothermal method
- combination of the use of the rhythm method, temperature and cervical mucus methods
- these methods can be reliable if careful records and charts are kept
lactational amenorrhoea
- temporary infertility that follows the birth of a child
- it occurs when a woman is not menstruating and fully breastfeeding
- high level of prolactin in the blood inhibit the secretion of GnRH, which in turn stops the secretion of FSH and LH
- temporarily suppressing ovulation
coitus interruptus
- the withdraw method, the removal of the penis just before male orgasm so the ejaculation takes place outside the female vagina
- high unreliable
- some sperm may escape in the pre-ejaculatory fluids so fertilisation can still occur
mechanical barriers
a variety of mechanical barriers can be used to prevent the sperm from reaching the egg
- condoms
- diaphragm
- cervical cap
- female condom
condoms
- thin latex rubber barrier effective in preventing semen from entering the vagina
- also provide protection against sexually transmitted infections
- the barrier blocks the exchange of body fluids (mucus, semen) during anal, oral or vaginal sex (preventing the spread of bacteria/viruses)
diaphragm
thin rubber cap that fits across the top of the vagina, correct size must be prescribed
cervical cap
similar but smaller than a diaphragm, fits directly over cervix
female condom
- sheath that lines the vagina, closed end fits over the cervix, the other sits over the labia
- protects against sexually transmitted infections
spermicides
-
spermicides work in two ways:
- they contain a substance that immobilises and destroys sperm
- they react with moisture in the vagina to form bubbles of carbon dioxide gas which present a physical barrier to the sperms
- available as creams, tablets, pessaries or aerosol foam
- unreliable when used alone
hormonal contraception for women
changes hormonal levels in the female’s body to prevent ovulation
- contraceptive pills
- hormonal implant
contraceptive pills
- “the Pill”, taken daily
- combined pill - oestrogen and progesterone, prevent ovulation
- mini pill - contains only progesterone substitute, progestogen, this makes the cervical mucus thicker so that sperm cannot enter the uterus and changes the lining of the uterus making it more difficult for a fertilised egg to implant
hormonal implant
- another way of delivering progesterone is to use Implanon a soft plastic stick about 4cm long that is inserted beneath the skin on the inner side of the upper arm
- it will provide contraception for three years
intrauterine devices
IUDs are small devices inserted into the uterus
- hormonal IUD
- copper IUD
hormonal IUD
slowly releases progesterone hormone