Contraception Part 1: General

Question 1

Optimal Features for Contraception

Answer 1

§ Effective
§ Safe
§ Convenient
§ Forgettable
§ Reversible
§ Inexpensive
§ Acceptable

Question 2

Contraceptive Methods

Answer 2

§ Permanent/Surgical Methods
§ Fertility Awareness Methods
§ Non-hormonal contraceptives (barrier methods)
§ Intrauterine devices (IUD’s)
§ Hormonal contraceptives

Question 3

what is considered short-acitng reversible contraceptives (SARC)?

Answer 3

combined hormonla contraceptive (CHC)
- combination oral contraceptive pill
- transdermal patch
- vaginal contraceptive ring

progrestin-only pill

Question 4

what is considered long-acitng reversible contraceptives (LARC)?

Answer 4

injectable progrestin - DMPA

intrauterine contraception
- LNG-IUS
- Copper IUD (Copper iud not considered hormonal, but is long acting, No hormones)

contraceptive implant
LARC – includes IUD’s, injections and implants

Better for adherence and improper use and tend to be most effective option

Question 5

what is pearl index

Answer 5

number of unintentional pregnancies per 100 women years of exposure

All new band products must have pearl index
Gives an idea of uninentional pregnancy

LOW = better, more effective

Question 6

effectiveness of contraceptives

50% coninuation in 1 year for pill and injection
Don’t always go to another effectuve nethod after stopping

Answer 6

Based on typical use

IUDs (including copper) and implant are most effective (similar to sterilization)

Injectable less effective as IUD even though it’s LARC - people forget their injection adherence issues

Barrier, non-hormonal are less effective

Least effective are fertility based methods, spermicides