Contraception: Non-hormonal Products Flashcards
Copper IUD advantages
No menstrual advantages, cycle happens as normal
Sexual/psych: spontaneity, patient satisfaction, adherence
Others: cost effective, readily reversible, effective for 10 years (up to 12)
Copper IUD disadvantages
Menstrual: dysmenorrhea, spotting, cramping, monthly blood loss increases by 50%
Sexual/psych: discomfort with strings or a presence of a foreign body
Others: expulsion (decreases with time), increased risk of PID 20 days after insertion
Copper IUD ADEs
PAINS:
Period late, abnormal spotting, increased or decreased bleeding
Abdominal pain, pain with intercourse
Infection (STI), abnormal vaginal discharge
Not feeling well, fever, chills
String missing, shorter/longer
Copper IUD pearls
Strings of the IUD stay outside the cervix, may be used as EC
Sponge
Non-latex, non-prescription, can insert up to 6 hours prior and remain in place for 24 hours, must keep in for 6 hours after intercourse, impregnated with spermicide
Diaphragm
LATEX, RX, can insert up to 6 hours prior and remain in place for 24 hours, may keep in for up to 6 hours
Cervical cap
Non-latex, RX, can insert 6 hours prior and remain in place for up to 48 hours, may keep in for up to 6 hours
Female condom
Non-latex, non-prescription, can insert up to 8 hours prior, immediate removal
Male condom
Latex or non-latex, non-prescription, place immediately prior, immediate removal
Abstinence
Avoiding sex during days of menstrual cycle when conception is the most likely to occur, day counting, physiologic changes in temperature and changes in cervical mucus
Vasectomy advantages
Enhanced sexual enjoyment without worry of pregnancy, simpler and safer than female sterilization, shared contraception responsibility, local anesthesia, no further visits after sperm count reaches 0 (~3 months)
Vasectomy disadvantages
Men think it will interfere with sexual function, think that it’s a woman’s responsibility to use BC, they might regret it later, BUM needed until sperm is gone, female may still need contraception if she has other partner(s) or if STI protection is needed, no cancer protection, short-term operative discomfort
Female sterilization
Laparoscopic sterilization, ligation or excision
Female sterilization advantages
Enhanced sexual enjoyment without pregnancy worry, decreased ovarian cancer, permanent, highly effective
Female sterilization disadvantages
No increase in menstrual bleeding or pain, regret, not readily reversible, doesn’t prevent HIV/STIs, higher risk of ectopic pregnancy if failure occurs
