Family Planning Flashcards
_______________attached to each ovary where fertilization occurs
Fallopian tube attached to each ovary where fertilization occurs
___________ site of implantation, expands to accommodate growing embryo/fetus
Uterus – site of implantation, expands to accommodate growing embryo/fetus
________seminiferous tubules where spermatogenesis occurs
Testes
__________ – coiled tube posterior side of each testes
Epididymis
______– tubes connect with ejaculatory duct, from there empty into the urethra.
Vas deferens
Ideal contraception should be:
*Safe without side effects
*Completely reversible
*Coitus independent
*Inexpensive
*Simple to use
*100% effective
Natural Planning Method definition…
a method of birth control (BC) that involves abstention from sexual intercourse
during the period of ovulation which is determined through observation and
measurement of bodily symptoms
Examples of Natural Family Planning
*Abstinence =
*Natural Family Planning
*Basal Body Temperature =
*First Response
*Billings Ovulation Method =
*Symptothermal Method =
*Coitus Interruptus (Withdrawal) =
*Lactational amenorrhea method=
*Abstinence =not having sex
*Natural Family Planning
*Basal Body Temperature = take your basal body temperature every morning before getting out of bed.
*First Response
*Billings Ovulation Method = observation of patterns of fertility and infertility based on vulvar sensations and appearance of discharges.
*Symptothermal Method = cervical mucus tracking with use of an electronic hormonal fertility monitor. The monitor detects hormones in urine to confirm fertile days
*Coitus Interruptus (Withdrawal) = “pull out”
*Lactational amenorrhea method= breastfeeding as a family planning metho
Ovulating vs Non ovulating
clear, slippery, thin.
creamy
Barrier Methods
*Condoms
*Vaginal Sponges
*Cervical Caps
*Diaphragms
*Spermicidal gels, cream suppository or foam
Vaginal Sponges – 76% effective
Advantage vs Disdvantage
Over the counter (OTC)
Most have spermicide
Disadvantage
*One time use
*Placed before 20 minutes intercourse & leave in 6 hrs afterward
Diaphragms - 88% effective
Advantage
*Fits over cervix
*Can remain in place for 24
hours
*No systemic effect
Disadvantage
*Use of spermicide for repeated intercourse 4
4
*Difficult to remove
*Irritation
*Allergic reaction
Hormonal Methods – 91% effective
*Combination oral contraception (Estrogen/Progesterone)
*Emergency contraceptives
*Progestin only
*Depo-Provera = breastfeeding
*Contraceptive patch
*Vaginal Ring
*Contraceptive Implant: Nexplanon or Norplant
Hormonal Methods
Advantages
*Suppresses ovulation
*Take one pill daily or
*4x’s per year injection
*Reduces risk of pregnancy
*Can be used if BF
*Removable patch
Disadvantages
*Side effects
*Weight gain
*Irregular bleeding ( watch history of blood clots * think about our DVT pts?)
*Patches – skin irritation
*Increased risk of heart attack, DVT, strokes (oral)
*No protection for STIs
Side effects of hormonal contraceptions
*A – severe abdominal pain
*C – chest pain
*A – severe abdominal pain
*C – chest pain
*H – headache
*E – eye problems
*S – severe leg pain/blood clots
Drug interactions – oral contraceptives
*Rifampin
*Phenobarbital
*Carbamazepine
*Broad spectrum antibiotics
Emergency Contraception “Morning After Pill”
*Common choices –
*Plan B One-Step
*Next Choice One Dose
*Aftera
*My Way
*Take Action
*Sexual assault or rape
*Condom breaks or diaphragm dislodged
*Missed birth control pill
*No birth control used
side effects: nausea/vomiting
RU – 486 - mifepristone
*Can be used up to day 49 of pregnancy
*Controversial drug
*Used to terminate pregnancy
Sterilization Surgical procedure
*Vasectomy
*Male
*Surgical procedure with
local anesthesia
*Difficult to reverse
*Highly effective – 99%
*Discomfort 2-3 days
- need two post surgey to confirm its good
*Highly effective – 99%
*Discomfort 2-3 days
Sterilization Surgical procedure
*Tubal ligation
*Female
*Surgical procedure with
general anesthesia
*Highly effective 99%
*Bleeding post op
*Pain post op
_
*Same day surgery
Sterility VS Infertility
*Sterility - it is impossible for a couple to conceive a child. A diagnosis
of sterility is given after a thorough examination concludes that there
is no sperm production and ovulation cannot occur.
*Infertility means that a couple is not sterile but for some reason has
not been able to conceive a child. There are three conditions that
need to be met for conception to be possible: sperm must be present,
the fallopian tubes must be open, and ovulation must be able to
occur. If one or more of these conditions is not met, the couple
suffers from infertility
inferility cause Causes
Male
*STI
*PESTICIDES
*HEAT EXPOSURE
*RADIATION
*INFECTION
*IMPOTENCE
*
Female
*AUTOIMMUNE DISORDERS
*DIABETES
*EASTING DISORDERS
*POOR NUTRITION
*OBESITY
*EXCESSIVE EXERCISE
*OBESITY
*EXCESSIVE EXERCISE
*DAMAGE TO REPRODUCTIVE ORGANS
Infertility Treatments
Male
*Hormonal therapy
*Treat infections
*Surgical interventions
*Lifestyle changes
*
Female
*Lifestyle changes
*Surgical procedures
*Treat infections
*Assistive Reproductive Therapies – fertility drugs to induce ovulation,
artificial insemination, surrogacy
