Contraceptions (Disadvantages)

Question 1

must be consistently practiced or it is not effective

Answer 1

abstinence

Question 2

must have a regular mens cycle and have knowledge/willingness to frequently monitor body functions

Answer 2

natural family planning

Question 3

disrupts sexual intercourse

Answer 3

withdrawal

Question 4

requires exclusive breastfeeding/infant suckling; using a barrier method w/ this method increases effectiveness

Answer 4

lactational amenorrhea method (LAM)

Question 5

allergic reactions may occur; have higher rate of protection w/ spermicides; must be applied at time of coitus and may be disruptive

Answer 5

condoms (male and female)

Question 6

must be left in place for at least 6 hrs postintercourse; irritation, discomfort, and allergic reaction may occur; may increase risk for infections including STI

Answer 6

vaginal sponges

Question 7

must be left in place for 6 hrs after coitus

Answer 7

cervical caps

Question 8

need additional doses of spermicide for repeated intercourse; leave in place for 6 hrs after intercourse; may increase risk of yeast infection, cystitis, toxic shock syndrome for prolonged use

Answer 8

diaphragms

Question 9

allergic reaction irritation; frequent use contraindicated for individuals at risk for HIV

Answer 9

spermicidal gels, cream suppository, or foam

Question 10

contraindicated to hx of DVT, PE, HTN, and heart disease; women age 35 and up, smoking, active cancer, genetic clotting disorders, liver disease; SE of nausea, headache, spotting, weight gain, chloasma)

Answer 10

combination estrogen and progesterone oral contraception

Question 11

SE are HA, n/v, abdominal pain, heavier/lighter mens bleeding, fatigue, diarrhea

Answer 11

emergency contraceptive (not for regular use)

Question 12

weight gain, irregular bleeding, may have minor SE: nausea, mood changes

Answer 12

progestin only

Question 13

weight gain, decreased bone density, delayed fertility, bleeding abnormalities, HA, mood changes, breast tenderness

Answer 13

depo-provera

Question 14

risk similar to those of oral contraceptives like increased risk of thrombotic event; possible less effective for larger women; possible skin irritation

Answer 14

contraceptive patch

Question 15

vaginal irritation and discharge may occur

Answer 15

vaginal ring

Question 16

low risk of uterine perforation; contraindicated in women dx and tx for PID within the prior 3 mos; increase of cramping and bleeding in the first few cycles

Answer 16

IUC, copper material or hormone releasing (levonorgestrel)

Question 17

irregular bleeding, skin irritation at site; must be removed

Answer 17

hormone implants

Question 18

discomfort for 2 to 3 days; difficult to reverse; need to use alternative contraceptive method until 2 postsurgery sperm tests indicate procedure is effective

Answer 18

vasectomy

Question 19

bleeding or pain at incision site; difficult to reverse

Answer 19

tubal ligation

Question 20

needs to be used until blockage is confirmed, usually 3 mos

Answer 20

sterilization implant