non hormonal contraception Flashcards
barrier methods
condoms - M and F
diaphragms
cervical caps
do spermicidal contraceptives give adequate protection if used alone
no
useful additional safeguards
2 components of spermicidal contraceptives
spermicide
vehicle for its delivery e.g. vaginal gel
can spermidical contraceptives be used with condoms
not recommended as no evidence of any additional protection compared with non-spermidical lubricants
spermicidal contraceptives are suitable for use with the following barrier methods
diaphragms or caps
not condoms
are spermicidal contraceptives suitable for use for those with, or at high risk of STIs including HIV? and why?
no
high freq use of spermicide nonoxinol 9 has been associated with genital lesions which may increase the risk of acquiring these infections
name a spermicidal contraceptive
nonoxinol
true or false - nonoxinol, if used frequently, is associated with genital lesions, which may increase risk of acquiring STIs
true
this is a spermicidal contraceptive
is the IUD suitable for all ages irrespective or parity (how many times birth has been given, regardless of birth outcome)
yes
who may IUD not be suitable for
PID
unexplained vaginal bleeding
a patient has unexplained vaginal bleeding and wants to start a contraceptive. would you recommend IUD
no
after how long after insertion are Cu-IUDs effective
immediately after insertion
How long can copper IUD’s be used for contraception
5 or 10 years depending on device
Can a CU-IUD be used for contraception until menopause
Yes
fertility declines with age and thus a CuIUD WITh copper SA of 300m2 or more, which is fitted in a woman 40 and over, can remain in uterus and be used for contraception until menopause
True or false - oil based lubricants e.g. Vaseline, baby oil and oil baed vaginal and rectal preparations can damage condoms, contraceptive diaphragms and caps made from latex rubber
true
can make them less effective as a barrier method of contraception and as protection from STIs
