Contraception PDF
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Uploaded by RewardingHeliotrope9473
Mansoura University
Dr. Shimaa Mosad
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Summary
This document provides information about contraception methods, including mechanical and hormonal methods. It discusses the advantages, disadvantages, and contraindications of various contraceptive options. The summary highlights the importance of considering individual health factors when choosing a specific contraception method.
Full Transcript
Dr. Shimaa Mosad It’s methods to prevent pregnancy. It may be reversible or irreversible. ❑ Mechanical methods, contain cupper, no hormones except in progesterone load IUD (Mirena) Long acting up to 10 years. No hormonal side effects like bloating, breast tenderness, increase body...
Dr. Shimaa Mosad It’s methods to prevent pregnancy. It may be reversible or irreversible. ❑ Mechanical methods, contain cupper, no hormones except in progesterone load IUD (Mirena) Long acting up to 10 years. No hormonal side effects like bloating, breast tenderness, increase body weight. Suitable in non-compliant ladies (can forget medication) Disadvantages ❑ Heavy periods in some ladies ❑ Precipitate infection ❑ Cause some discomfort during insertion. ❑ Perforation of uterus: extra uterine IUD ❑ Pregnant on IUD: may be ectopic. Contraindications: 1. Active infection 2. Coagulation disorder 3. Uterine anomalies May be progesterone or combined estrogen progesterone contraceptive. Progesterone only contraceptive: 1. Progestogen-only pill, or ‘mini-pill’ daily 2. Subdermal implant every 3 y 3. Injectables (depo-provera®, noristerat®) every 3 months 4. Hormone-releasing intrauterine system (mirena) ❑ All progestogen-only methods work by a local effect on cervical mucus (making it hostile to ascending sperm) and on the endometrium (making it thin and atrophic), thereby preventing implantation and sperm transport. ❑ Progestogen only methods are extremely safe and can be used if a woman has cardiovascular risk factors, for example older women who smoke. Irregular or absent menstrual bleeding. Simple, functional ovarian cysts. Breast tenderness, bloating Acne. 1. Pills 2. Injectable: monthly injection 3. Combined hormonal patches Mode of action: Combined oral contraception acts both centrally and peripherally. Central :Inhibition of ovulation is by far the most important effect. Peripheral effects include making the endometrium atrophic and hostile to implantation and altering cervical mucus to prevent sperm ascending into the uterine cavity. Advantage: More physiological so better control of cycle Contraindication: Breast cancer Uncontrolled blood pressure, diabetes mellitus History or active thrombosis Smoker and > 35 y Active liver disease.
