Contraception: Sterilization, Emergency Flashcards
Vasectomy surgically alters what?
How long till fully effective?
vas deferens
~ 1 mo
ejaculated semen exam will contain NO sperm
Vasectomy:
Benefits?
Risks/Disadv?
Benefits: Low fail rate No hormones Permanent Low risk procedure
Risks:
Post bleed/infect
Pain in vas or epididymis from sperm congestion
Tubal Ligation works how?
disrupted fallopian tube prevents fertilization
Tubal Ligation:
Benefits?
Risks/Disadv?
Benefits:
No lasting s/e
Permanent
Risks: Not 100% effective Req's anesthesia Post bleed/infect (P) injury to other rogans ECTOPIC PREGNANCY
Tubal Obstruction: Essure is?
metal or polymer insert,
placed hysteroscopically into proximal fallo tube,
tissue grows around inplant occluding tube,
12 wks post confirmed w/ hysterosalpingogram
Tubal Obstruction: Essure
Benefits?
Risks/Disadv? (6)
Benefits:
No incision
Less postop pain
Ok for pts w/ pelvic adhesions
Risks: Takes 3 mo Imaging for confirmation Perforation Device expulsion Postop pain/infection ECTOPIC PREGNANCY
Tubal Obstruction: Essure
Contraindications? (5)
1) Pregnancy
2) < 6 wks post delivery
3) Active/recent pelvic infect
4) Allergy to nickel and/or contrast
5) Uterine/tubal pathology blocking access
Emergency Contraception: Pills action?
Inhibit/delay ovulation
Don’t abort
Emergency Contraception: Plan B pills
Contain?
Use?
Progestin
OTC
w/i 72 hrs
Emergency Contraception: Ella pills
Contain?
Use?
ulipristal acetate-progesterone
Rx
up to 120 hrs
Emergency Contraception: Pills
Benefits?
Risks/Disadv?
Benefits:
VERY EFFECTIVE
Safe back-up birth control
Immediate return of fertility
Risks:
Don’t use if actually pregnant
N/V, HA, heavier bleed
Emergency IUD use?
Copper (same long-term one)
Insert up to 5 days post
Remove after next period
Emergency IUD:
Benefits?
Risks/Disadv?
Benefits:
Very effective
Risks:
same as pills
placed by provider
